Active NPI
Kevin Ross Bailey, PHARMD
- Geriatric Pharmacist
- Florence, CO
National Provider Identifier
1003368481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 0019895
- Practice address
- 903 Moore Dr
Florence, CO 81226-9509 - Phone
- (719) 784-5308
- NPI assigned
- Nov 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0019895 | CO | |
| Geriatric Pharmacist | 1835G0303X | 0019895 | CO | Primary |
Addresses
Primary practice location
903 Moore Dr
Florence, CO 81226-9509
Mailing address
903 Moore Dr
Florence, CO 81226-9509
Phone (719) 784-5308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019895 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1003368481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MOORE DR",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812269509",
"telephone_number": "719-784-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MOORE DR",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812269509",
"telephone_number": "719-784-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KEVIN",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0019895",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CO",
"license": "0019895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.