Active NPI
James C Bawden, RPH
- Pharmacist
- Provo, UT
National Provider Identifier
1194000901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 144796
- Practice address
- 1315 N State St
Provo, UT 84604-2416 - Phone
- (801) 616-5223
- Fax
- (801) 616-5252
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 144796 | UT | Primary |
Addresses
Primary practice location
1315 N State St
Provo, UT 84604-2416
Mailing address
4586 N 50 W
Provo, UT 84604-5506
Phone (801) 367-2086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144796 | Other | UT | DOPL 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144796 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1194000901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4586 N 50 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846045506",
"telephone_number": "801-367-2086",
"fax_number": "801-235-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N STATE ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846042416",
"telephone_number": "801-616-5223",
"fax_number": "801-616-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWDEN",
"first_name": "JAMES",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-13",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "144796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOPL LICENSE NUMBER",
"identifier": "144796",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.