Austin Jeffery Bailey, RPH
Individual provider Active NPI Pharmacist · Andalusia, AL
NPI 1316243199 · NPPES record last updated Jan 27, 2011
Key facts
- NPI
- 1316243199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 110728 (AL)
- Practice address
- 324 W Bypass
Andalusia, AL 36420-2514 - Phone
- (334) 427-1111
- Fax
- (334) 427-1116
- NPI assigned
- Jan 27, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110728 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bailey'S Pharmacy, Inc. | Current | Accepting new patients | |
| Florala Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 110728 | AL | Yes |
Addresses
Primary practice location
324 W Bypass
Andalusia, AL 36420-2514
Mailing address
24017 Meadows Rd
Andalusia, AL 36421-5954
Phone (334) 493-3417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002818 | Medicaid | AL |
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2011. 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.