Bacon East Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53596 Issued in CA

Legal business name

BACON EAST PHARMACY INC

Doing business as

Bacon East Pharmacy

Practice address

2485 High School Ave Ste 114
Concord, CA 94520-1816

Phone

(925) 687-0565

Fax

(925) 687-7925

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Sean Weekes, BS. PHARM

Title

Pic

Phone

(925) 687-0565

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Bacon East Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1295746873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE STE 114",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201816",
            "telephone_number": "925-687-0565",
            "fax_number": "925-687-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE STE 114",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201816",
            "telephone_number": "925-687-0565",
            "fax_number": "925-687-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACON EAST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "WEEKES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "925-687-0565",
        "authorized_official_credential": "BS. PHARM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53596",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA330760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bacon East Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bacon East Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Babcock
• Hailey Rachelle Baca Finucane
• Marjorie Ann Bacaron
• Brittney Backus
• Desirae Renee Bacolot
• Mary Bactol
• Nikki Badakhshan
• Semon Bader, M.D.
• Cara Badgley
• Alisha Badhan

• Community/Retail Pharmacy in Concord, CA
• Providers in Concord, 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 Jul 2, 2019; 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.