Charlene Janet Ford, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

30463 Issued in TX

Practice address

1919 Faithon P Lucas Sr Blvd
Mesquite, TX 75181-1697

Phone

(469) 726-0013

Fax

(469) 726-0590

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Texas L P

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Mesquite, TX
  • NPI 1497828925
  NPD (past)
• Kroger Texas LP

  dba Kroger Pharmacy #541

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1902436934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 FAITHON P LUCAS SR BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811697",
            "telephone_number": "469-726-0013",
            "fax_number": "469-726-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 FAITHON P LUCAS SR BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811697",
            "telephone_number": "469-726-0013",
            "fax_number": "469-726-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHARLENE",
        "middle_name": "JANET",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "30463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Chad Flowers, M.A., L.P.C.
• Sovannarat Floyd, FNP
• Focus Home Healthcare Services, Inc. (Focus Home Health Agency)
• Focus Rehab, Inc.
• Foot & Ankle Center of Dallas PLLC
• Penelope Ann Fortenberry
• Tina Louise Foss, D.D.S.
• Dionndra Gaye Foster, M.ED., CCC/SLP
• Jana English Foster, ATC LAT
• Tracy Foster, LCDC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.