Organization Active NPI

Bayard Pharmacy LLC

Doing business as Bayard Pharmacy

  • Community/Retail Pharmacy
  • Dover, DE
National Provider Identifier
1073877437
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
A3-0000944 Issued in DE
Legal business name
BAYARD PHARMACY LLC
Doing business as
Bayard Pharmacy
Practice address
202 W Loockerman St
Dover, DE 19904-3248
Phone
(302) 724-4497
Fax
(302) 526-4835
NPI assigned
Jul 1, 2012
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erik MabusNPI 1821340043
Title
Owner/Pharmacy Manager
Phone
(302) 632-5149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X A3-0000944 DE Primary

Addresses

Primary practice location

202 W Loockerman St
Dover, DE 19904-3248

Mailing address

202 W Loockerman St
Dover, DE 19904-3248
Phone (302) 724-4497

Other identifiers 1

IdentifierTypeStateIssuer
2135897OtherPK

Other names 1

  • Bayard Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

202 W Loockerman St
Dover, DE 19904
Phone (302) 724-4497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1073877437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043248",
            "telephone_number": "302-724-4497",
            "fax_number": "302-526-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043248",
            "telephone_number": "302-724-4497",
            "fax_number": "302-526-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYARD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "MABUS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "302-632-5149"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A3-0000944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.