MARY JO ANN BRO (NPI# 1245860014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245860014 |
| Entity Type | Individual |
| Full Name | MARY JO ANN BRO |
| Practice Address |
2109 Harwood Rd Bedford TX 76021-4705 |
| Practice Telephone | 8176859628 |
| Practice Fax Number | 8176859349 |
| Mailing Telephone | 8176859628 |
| Mailing Fax Number | 8176859349 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
16305 | IA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
31706 | TX | Pharmacy Service Providers |
| Street Address |
2109 HARWOOD RD |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831262369 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2006-11-15 |
| 1942808365 | Rex Gueffroy | Pharmacist | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2020-10-16 |
| 1366073025 | David D Saunders | Pharmacist | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2020-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1215537139 | Tracy Blyeth | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-29 |
| 1093315988 | Brian Scott Darnell | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-29 |
| 1255931432 | Michelle Lynn Goldsberry | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-28 |
| 1265032262 | Bhavinkumar Patel | Pharmacist | 1126 E Lynchburg Salem Tpke, Bedford, VA 24523-3446 | 2020-10-28 |
| 1174123152 | Rebecca L Jones | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-6085 | 2020-10-28 |
| 1942808365 | Rex Gueffroy | Pharmacist | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2020-10-16 |
| 1194351486 | Joanne Meyer | Pharmacist | 21 Ferris Ln, Bedford, NY 10506-1715 | 2020-03-18 |
| 1831723279 | Corinne Renee Pruett | Pharmacist | 1206 16th St, Bedford, IN 47421-3707 | 2020-02-25 |
| 1366073025 | David D Saunders | Pharmacist | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2020-01-31 |
| Find all providers in BEDFORD | ||||
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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.