Individual provider Active NPI

Bart J Teuscher, PHARMD

  • Pharmacist
  • Prescott, AZ
National Provider Identifier
1083941256
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14804 Issued in AZ
Practice address
3911 E State Route 69
Prescott, AZ 86301-6717
Phone
(928) 541-2218
Fax
(928) 541-2257
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14804 AZ Primary

Addresses

Primary practice location

3911 E State Route 69
Prescott, AZ 86301-6717

Mailing address

3911 E State Route 69
Prescott, AZ 86301-6717
Phone (928) 541-2218

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

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1083941256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 E STATE ROUTE 69",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016717",
            "telephone_number": "928-541-2218",
            "fax_number": "928-541-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 E STATE ROUTE 69",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016717",
            "telephone_number": "928-541-2218",
            "fax_number": "928-541-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUSCHER",
        "first_name": "BART",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "14804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.