Active NPI
Johnny Bach
- Pharmacist
- Daly City, CA
National Provider Identifier
1013381367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74133
- Practice address
- 211 Eastmoor Ave
Daly City, CA 94015-2036 - Phone
- (415) 396-9686
- NPI assigned
- Nov 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74133 | CA | Primary |
Addresses
Primary practice location
211 Eastmoor Ave
Daly City, CA 94015-2036
Mailing address
740 W Alluvial Ave Ste 101
Fresno, CA 93711-5509
Other practice location 1
740 W Alluvial Ave Ste 101
Fresno, CA 93711-5509
Phone (180) 079-7354
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74133 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662163200000",
"number": "1013381367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 W ALLUVIAL AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 EASTMOOR AVE",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152036",
"telephone_number": "415-396-9686"
}
],
"practiceLocations": [
{
"address_1": "740 W Alluvial Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937115509",
"country_code": "US",
"telephone_number": "180-079-7354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACH",
"first_name": "JOHNNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-24",
"last_updated": "2022-09-03",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.