Ty Curtis Bazil, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P6159 Issued in ID

Practice address

1545 E 6TH St
Weiser, ID 83672-1495

Phone

(208) 549-8777

Fax

(208) 549-8780

NPI assigned

Feb 10, 2012

Last updated

Feb 10, 2012By the provider in NPPES

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1215200951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 E 6TH ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836721495",
            "telephone_number": "208-549-8777",
            "fax_number": "208-549-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 E 6TH ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836721495",
            "telephone_number": "208-549-8777",
            "fax_number": "208-549-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZIL",
        "first_name": "TY",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "P6159",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Weiser, ID
• Providers in Weiser, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.