Joshua Bacon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S016886 Issued in AZ

Practice address

Highway 666 North
Medical Center Complex
Shiprock, NM 87420

Phone

(505) 368-7227

NPI assigned

Sep 9, 2010

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2010.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1013224237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "FLORA VISTA",
            "state": "NM",
            "postal_code": "874150829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 666 NORTH",
            "address_2": "MEDICAL CENTER COMPLEX",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-368-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "JOSHUA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle R Atencio-Archibeque, COTA/L
• Joanna N Atencio, RT(R)(M)
• Asha E Atwell, DO
• George Clifford Baacke II, MD
• Karen Marie Bachman-Carter, MPH, LD/RD
• Hillary Baker
• Michael C Barish, MD
• Denise Suzanne Bartley, FNP
• Rosalynn Barton, PTA
• Joseph Baumgart, D.M.D.

• All providers in Shiprock, NM
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.