Thomas Bacon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH016043 Issued in GA

Practice address

4700 Las Vegas Blvd N
99 Mdos/CC
Nellis AFB, NV 89191-6600

Phone

(702) 653-2031

Fax

(702) 653-2110

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1124428529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "address_2": "99 MEDICAL OPERATIONS SQUADRON / COMMANDER",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2031",
            "fax_number": "702-653-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "address_2": "99 MDOS/CC",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2031",
            "fax_number": "702-653-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH016043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignacio J O Aricheta, APRN
• Matthew Aaron Armstrong, M.D.
• Travis Atkinson Arnold-Lloyd, MD
• Daron Atkin, DO
• Alexis C Aust, MD
• Justin Baggette, CRNA, DNP, RN
• Brigham Bahr, DO
• Kevin Donald Bailey, PA-C
• Carlene J Bainter, PA-C
• Preston H Baker

• Pharmacist in Nellis AFB, NV
• Providers in Nellis AFB, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.