Bidwell Pharmacy and Medical Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

48804 Issued in CA

Legal business name

BIDWELL PHARMACY AND MEDICAL SUPPLY INC

Doing business as

Bidwell Pharmacy and Medical Supply Inc

Practice address

1200 Mangrove Ave
Ste a
Chico, CA 95926-3558

Phone

(530) 891-0388

Fax

(530) 891-0324

NPI assigned

Oct 25, 2007

Last updated

Mar 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Okwudili Ahiligwo, RPHNPI 1508072919

Title

Pharmacist

Phone

(530) 891-0388

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BIDWELL PHARMACY AND MEDICAL SUPPLY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Okwudili B Ahiligwo, B.PHARM

  • Pharmacist
  • Chico, CA
  • NPI 1508072919
  NPD Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1255510376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MANGROVE AVE",
            "address_2": "STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263558",
            "telephone_number": "530-891-0388",
            "fax_number": "530-891-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MANGROVE AVE",
            "address_2": "STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263558",
            "telephone_number": "530-891-0388",
            "fax_number": "530-891-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIDWELL PHARMACY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "AHILIGWO",
        "authorized_official_first_name": "OKWUDILI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "530-891-0388",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255510376",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5628512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIDWELL PHARMACY AND MEDICAL SUPPLY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BIDWELL PHARMACY AND MEDICAL SUPPLY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephanie Bianco-Simeral, M.S., R.D.
• Bidwell Behavior
• Bidwell Pharmacy and Medical Supply Inc (Bidwell Pharmacy & Medical Supply Inc. LTC)
• Willaim Darr Billings
• Brent A. Bills, M.D.
• Mary Beth Binkert, LCSW
• Lillian Bird Postler, PTA

• Community/Retail Pharmacy in Chico, CA
• Providers in Chico, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.