Individual provider Active NPI

Terrance James Barden Jr., PHARMD

  • Pharmacist
  • Port Huron, MI
National Provider Identifier
1235760463
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302412001 Issued in MI
Practice address
3530 Pine Grove Ave
Port Huron, MI 48060-1944
Phone
(810) 987-7333
NPI assigned
Jan 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302412001 MI Primary

Addresses

Primary practice location

3530 Pine Grove Ave
Port Huron, MI 48060-1944

Mailing address

3530 Pine Grove Ave
Port Huron, MI 48060-1944
Phone (810) 987-7333

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
5302412001MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1235760463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601944",
            "telephone_number": "810-987-7333",
            "fax_number": "810-987-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601944",
            "telephone_number": "810-987-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDEN",
        "first_name": "TERRANCE",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.