Brian Anthony Bach, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28685 Issued in NC

Practice address

4309 New Bern Ave
Raleigh, NC 27610-1445

Phone

(919) 231-2858

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Southern Pines, NC
  • NPI 1538999107
  NPD (past)
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Raleigh, NC
  • NPI 1982911616
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1174174684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WATAUGA ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042033",
            "telephone_number": "314-363-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101445",
            "telephone_number": "919-231-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOP LICENSE",
            "identifier": "28685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cassandra Ann Bacasse
• Laura Rosario Bachara, D.D.S
• Chelsea Bachman, M.ED
• Back in Motion Family Chiropractic Center
• Back to Center Counseling, LLC
• Anna Beth Baden, M.ED., BCBC, LBA

• All providers in Raleigh, NC
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.