Active NPI
John A Bahlman III, RPH
- Pharmacist
- Prescott, AZ
National Provider Identifier
1306159504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6079
- Practice address
- 3198 Willow Creek Rd
Prescott, AZ 86301-6610 - Phone
- (928) 778-3181
- Fax
- (928) 778-3491
- NPI assigned
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6079 | AZ | Primary |
Addresses
Primary practice location
3198 Willow Creek Rd
Prescott, AZ 86301-6610
Mailing address
3198 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 778-3181
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6079 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Prescott, AZ
- NPI 1689618993
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1306159504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016610",
"telephone_number": "928-778-3181",
"fax_number": "928-778-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3198 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016610",
"telephone_number": "928-778-3181",
"fax_number": "928-778-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHLMAN",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "6079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.