Norman Bondesen
Individual provider Active NPI Pharmacist · Alto, TX
NPI 1962009555 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1962009555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 25269 (TX)
- Practice address
- 272 North Marcus
Alto, TX 75925 - Phone
- (936) 858-4311
- Fax
- (936) 858-3865
- NPI assigned
- Oct 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25269 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookshire Brothers Inc | Past |
Accepting new patients | |
| Brookshire Brothers Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25269 | TX | Yes |
Addresses
Primary practice location
272 North Marcus
Alto, TX 75925
Mailing address
706 Crooked Creek Dr
Nacogdoches, TX 75965-1925
Phone (936) 559-3441
Other providers in Alto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. 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.