DR. VICTORIA BAONGOC PHO (NPI# 1679724645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679724645 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA BAONGOC PHO |
| Credential | PHARM.D. |
| Practice Address |
1901 Veterans Memorial Dr. Temple TX 76504 |
| Mailing Address |
3010 Ira Young Dr. Temple TX 76504 |
| Practice Telephone | 2547784811 |
| Mailing Telephone | 8329214586 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 46696 | TX | Pharmacy Service Providers |
| Street Address |
1901 VETERANS MEMORIAL DR. |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881568 | Venkata Ratnam Polavarapu | Psychiatry & Neurology | 1901 Veterans Memorial Dr., Temple, TX 76504 | 2005-12-07 |
| 1811596109 | Luisa Jimenez | Psychologist | 1901 Veterans Memorial Dr., Building 202, Room 2c264, Temple, TX 76504 | 2020-10-19 |
| 1821457797 | Tamara Hembree | Social Worker | 1901 Veterans Memorial Dr., Temple, TX 76504-7493 | 2016-02-19 |
| 1720488562 | Celia Lynn Feller | Social Worker | 1901 Veterans Memorial Dr., Central Texas Veteran Health Care System, Temple, TX 76504 | 2014-08-29 |
| 1619203056 | William Leslie Farnum | Counselor | 1901 Veterans Memorial Dr., Veterans Administration, Temple, TX 76504-0005 | 2009-10-20 |
| 1629208152 | Matthew Thomas Lester | Internal Medicine | 1901 Veterans Memorial Dr., Bldg 204, Room 2g28, Temple, TX 76504 | 2009-07-17 |
| 1578660023 | Charles Gordon Burgar | Physical Medicine & Rehabilitation | 1901 Veterans Memorial Dr., Pm&rs(117), Temple, TX 76504-7451 | 2006-09-19 |
| 1255340436 | Saba Razi-syed | Psychiatry & Neurology | 1901 Veterans Memorial Dr., Temple, TX 76504-9976 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| 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 |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1336611250 | Karin Diane Holdampf | Pharmacist | 2401 S 31st St Rm W150, Temple, TX 76508-0001 | 2018-12-18 |
| 1316440852 | Jordan Rohder | Pharmacist | 2002 Scott Blvd, Temple, TX 76504-6900 | 2018-03-12 |
| 1649717083 | Thomas Jackson Fowler II | Pharmacist | 488 Carrollton Street, Temple, GA 30179 | 2017-01-24 |
| 1932658077 | Monal Punjabi | Pharmacist | 5213 Foxhill Rd, Temple, TX 76502-4106 | 2016-09-30 |
| 1043683022 | Nina Kim | Pharmacist | 2401 S 31st St # Msag407p, Temple, TX 76508-0001 | 2015-11-12 |
| 1760890859 | Mckinsey Ford | Pharmacist | 1201 Canyon Creek Dr, Temple, TX 76502-3299 | 2014-08-01 |
| 1871927624 | Grace Ifunanya Mbagwu | Pharmacist | 463 Westfield Blvd Apt. 612, Temple, TX 76502-5333 | 2013-08-29 |
| 1558603852 | Thomas Edward Chamberlain | Pharmacist | 1314 W. Adams Avenue, Temple, TX 76501 | 2013-03-25 |
| 1174875207 | Joann Pelage | Pharmacist | 3550 S General Bruce Dr Bldg A100, T-2278, Temple, TX 76504-5133 | 2012-10-13 |
| Find all providers in TEMPLE | ||||
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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.