Individual provider Active NPI

William Bailie, PHARMD

  • Pharmacist
  • Reno, NV
National Provider Identifier
1184047045
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18278 Issued in NV
Practice address
4835 Kietzke LN
Reno, NV 89509-6549
Phone
(775) 829-7922
Fax
(775) 829-8202
NPI assigned
Jan 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18278 NV Primary

Addresses

Primary practice location

4835 Kietzke LN
Reno, NV 89509-6549

Mailing address

4835 Kietzke LN
Reno, NV 89509-6549
Phone (775) 829-7922

Other identifiers 1

IdentifierTypeStateIssuer
18278OtherNVPHARMACIST OF NEVADA LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
18278NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1184047045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096549",
            "telephone_number": "775-829-7922",
            "fax_number": "775-829-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096549",
            "telephone_number": "775-829-7922",
            "fax_number": "775-829-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILIE",
        "first_name": "WILLIAM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "18278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST OF NEVADA LICENSE NUMBER",
            "identifier": "18278",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.