Active NPI
Larry Wayne Bohmfalk, RPH
- Pharmacist
- Lytle, TX
National Provider Identifier
1871808659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28310
- Practice address
- 19565 Interstate Highway 35 South
Lytle, TX 78052 - Phone
- (830) 772-4360
- Fax
- (830) 709-2092
- NPI assigned
- Aug 17, 2010
- Last updated
- Aug 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28310 | TX | Primary |
Addresses
Primary practice location
19565 Interstate Highway 35 South
Lytle, TX 78052
Mailing address
19565 Ih 35 S.
Lytle, TX 78052
Phone (830) 772-4360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28310 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1871808659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19565 IH 35 S.",
"city": "LYTLE",
"state": "TX",
"postal_code": "78052",
"telephone_number": "830-772-4360",
"fax_number": "830-709-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19565 INTERSTATE HIGHWAY 35 SOUTH",
"city": "LYTLE",
"state": "TX",
"postal_code": "78052",
"telephone_number": "830-772-4360",
"fax_number": "830-709-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHMFALK",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lytle, TX
- Carolyn J Barnette, EIS
- Patricia Barrera, PHYSICAL THERAPIST
- Esther G. Basaldua, PT
- Maribel Benavides, EIS
- Lauren Billings, PHARMD
- Karla Elizabeth Bowman, OT
- Maria Louise Brochu, SLP
- Fahimah Yazdanfard Callahan, RD
- Camino Real Community MHMR Center (Camino Real Community Services)
- Camino Real Community MHMR Center (Camino Real Community Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.