Provider Demographics
NPI:1578271128
Name:BHAIDAS, JAMES J (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:BHAIDAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 ALMEDA RD UNIT 10816
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7627
Mailing Address - Country:US
Mailing Address - Phone:516-426-4842
Mailing Address - Fax:
Practice Address - Street 1:1330 INDUSTRIAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2599
Practice Address - Country:US
Practice Address - Phone:281-295-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist