Brent Jude Bashaw, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

040628 Issued in NY

Practice address

675 Troy Schenectady Rd
Target Pharmacy T1915
Latham, NY 12110-2493

Phone

(518) 782-1360

NPI assigned

Nov 27, 2007

Last updated

May 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1225210768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LINDA LN",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091962",
            "telephone_number": "518-452-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TROY SCHENECTADY RD",
            "address_2": "TARGET PHARMACY T1915",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102493",
            "telephone_number": "518-782-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAW",
        "first_name": "BRENT",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01309571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Barnett, MD
• Virginia R Barr, CPE
• Amelia Barrett
• Marjorie Stone Barrows, MSN
• Gerard Patrick Barry, M.D.
• Dominique Bassallo, OT
• Lisa Battisti, RD
• Richard T Bauer III, D.P.M.
• Preeti Bavdekar, P.T.
• Shawn-Amy Rae Bazargan-Lari, REGISTERED NURSE

• Pharmacist in Latham, NY
• Providers in Latham, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.