Jeffrey C. Bachta, RPH – Pharmacist in Troy, NY

Key facts

NPI: 1235315367
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 042256 (NY)
Practice address: 760 Hoosick Rd
Troy, NY 12180-6627
Phone: (518) 279-0699
Fax: (518) 279-0708
NPI assigned: Jan 18, 2008
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Pharmacist

State licenses

License	State	Type	Specialty
042256	NY	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	042256	NY	Yes

Addresses

Primary practice location

760 Hoosick Rd
Troy, NY 12180-6627

Mailing address

760 Hoosick Rd
Troy, NY 12180-6627
Phone (518) 279-0699

Other identifiers

Identifier	Type	State	Issuer
01652428	Medicaid	NY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2008.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1235315367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806627",
            "telephone_number": "518-279-0699",
            "fax_number": "518-279-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806627",
            "telephone_number": "518-279-0699",
            "fax_number": "518-279-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHTA",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

All providers in Troy, NY · Pharmacist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.