Vedad Bakalovic
Individual provider Active NPI Pharmacist · Marcy, NY
NPI 1295291771 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1295291771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- I064180-1 (NY)
- Practice address
- 9225 River Rd
Marcy, NY 13501 - Phone
- (315) 768-7470
- NPI assigned
- Feb 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I064180-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdirect Institutional Pharmacy Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I064180-1 | NY | Yes |
Addresses
Primary practice location
9225 River Rd
Marcy, NY 13501
Mailing address
9225 River Rd
Marcy, NY 13501
Other providers in Marcy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2019. 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.