Subhash Chander Bhardwaj, PHARMD
Individual provider Active NPI Pharmacist · Winslow, AZ
NPI 1952128233 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1952128233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 51082 (TX)
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 289-4646
- NPI assigned
- Sep 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51082 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 51082 | TX | |
| Clinic Pharmacy | 3336C0002X | 51082 | TX | |
| Institutional Pharmacy | 3336I0012X | 51082 | TX | |
| Institutional Pharmacy | 3336I0012X | 51082 | ||
| Pharmacist |
183500000X | 51082 | TX | Yes |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
46 Tuscan Villa Cir
Lubbock, TX 79423-4928
Phone (703) 975-2560
Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.