Arlene Frances Bahar
Individual provider Active NPI Pharmacist · Dryden, NY
NPI 1154612893 · NPPES record last updated Mar 16, 2015
Key facts
- NPI
- 1154612893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- I0556101 (NY)
- Practice address
- 11 East Main Street
Dryden, NY 13053-3901 - Phone
- (607) 793-5556
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0556101 | NY | MD | Pharmacist |
| RP036799L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP036799L | PA | |
| Pharmacist | 183500000X | I0556101 | NY | Yes |
Addresses
Primary practice location
11 East Main Street
Dryden, NY 13053-3901
Mailing address
4 Sunset Dr
Lansing, NY 14882-8931
Phone (607) 793-5556
Other providers in Dryden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.