BAKHTAVER JAVED SAMUEL (NPI# 1437764578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437764578 |
| Entity Type | Individual |
| Full Name | BAKHTAVER JAVED SAMUEL |
| Credential | PHARMD, RPH |
| Practice Address |
1325 W White St Anna TX 75409-5007 |
| Mailing Address |
813 Edmonton Dr Plano TX 75075-2580 |
| Practice Telephone | 9729244220 |
| Mailing Telephone | 9728323966 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 67098 | TX | Pharmacy Service Providers |
| Street Address |
1325 W WHITE ST |
| City | ANNA |
| State | TX |
| Zip Code | 75409-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740448174 | Brookshire Grocery Company | Pharmacy | 1325 W White St, Anna, TX 75409-5007 | 2008-06-02 |
| 1376180687 | Natalya Gildersleeve | Pharmacist | 1325 W White St, Anna, TX 75409-5007 | 2019-12-05 |
| 1780221960 | Charlene Foster Merritt | Pharmacist | 1325 W White St, Anna, TX 75409-5007 | 2019-12-05 |
| 1154571727 | Michael Paul Ellis | Pharmacist | 1325 W White St, Anna, TX 75409-5007 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604675 | Surgery Center of North Texas, Pllc | Clinic/Center | 330 Standridge Blvd, Anna, TX 75409 | 2019-11-25 |
| 1093375412 | Augustine Onuoha | Registered Nurse | 1313 Bridgeport Dr, Anna, TX 75409 | 2019-06-18 |
| 1699277400 | Knight Family Chiropractic of Anna, LLC | Chiropractor | 1108 W. White St., Suite 100, Anna, TX 75409 | 2018-03-07 |
| 1023542883 | Reinert Family Eye Care, Pllc | Optometrist | 521 S Central Expy, Anna, TX 75409 | 2017-04-18 |
| 1902339096 | Risikat Idowu Lawal | Nurse Practitioner | 1130 Annie Oakley Dr, Anna, TX 75409 | 2017-04-06 |
| 1144760851 | Branches Dental, Pllc | Dentist | 2100 West White St, Suite 100, Anna, TX 75409 | 2017-02-28 |
| 1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
| 1972900884 | Ambience Community Services, LLC | Community/Behavioral Health | 709 Bamboo Dr, Anna, TX 75409 | 2014-11-21 |
| 1952728073 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2740 W White St, Anna, TX 75409 | 2014-03-26 |
| 1013252139 | Anna Dental | Dentist | 2101 W. White St., Suite 100, Anna, TX 75409 | 2012-11-29 |
| Find all providers in zip 75409 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718859 | Swapna Kondu | Pharmacist | 813 W White St # St200, Anna, TX 75409-2638 | 2020-04-02 |
| 1972557759 | Kim Dallas Capel I | Pharmacist | 214 Apple Ln, Anna, IL 62906-1116 | 2006-05-19 |
| 1114979317 | Anthony Joseph Cerny | Pharmacist | 1575 John Rich School Rd, Anna, IL 62906-3104 | 2006-05-16 |
| 1649871831 | Katharine Jou | Pharmacist | 521 S Central Expy, Anna, TX 75409-4904 | 2020-11-04 |
| 1457952731 | Andrew Melonakos | Pharmacist | 521 S Central Expy, Anna, TX 75409-4904 | 2020-11-04 |
| 1275134587 | Christine Renee Platt | Pharmacist | 521 S Central Expy, Anna, TX 75409-4904 | 2020-11-03 |
| 1508466111 | John Russell Dunbar | Pharmacist | 300 Leigh Ave, Anna, IL 62906-2213 | 2020-11-01 |
| 1710587175 | Shane Michael Peck | Pharmacist | 300 Leigh Ave, Anna, IL 62906-2213 | 2020-10-27 |
| 1841802485 | Stephanie Lenhardt | Pharmacist | 745 E Vienna St, Anna, IL 62906-2041 | 2020-08-17 |
| 1376180687 | Natalya Gildersleeve | Pharmacist | 1325 W White St, Anna, TX 75409-5007 | 2019-12-05 |
| Find all providers in ANNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.