Active NPI
Tao Bai, PHARND
- Pharmacist
- South Bend, IN
National Provider Identifier
1104251479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26025299A
- Practice address
- 52482 State Rd 933
South Bend, IN 46637 - Phone
- (574) 271-0357
- NPI assigned
- Sep 5, 2013
- Last updated
- Sep 5, 2013
- Sex
- Female
- 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 | 26025299A | IN | Primary |
| Pharmacist | 183500000X | 2281450 | IL |
Addresses
Primary practice location
52482 State Rd 933
South Bend, IN 46637
Mailing address
608 Daisy LN
Roselle, IL 60172-2702
Phone (773) 510-5455
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 |
|---|---|---|---|
| 2281450 | IL | MD | Pharmacist |
| 26025299A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1104251479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 DAISY LN",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722702",
"telephone_number": "773-510-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52482 STATE RD 933",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46637",
"telephone_number": "574-271-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAI",
"first_name": "TAO",
"credential": "PHARND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025299A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "2281450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.