Bakco Enterprises,Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BAKCO ENTERPRISES,INC

Doing business as

Medical Center Pharmacy

Practice address

3121 Peach Orchard Rd
Augusta, GA 30906-3521

Phone

(706) 792-5130

Fax

(706) 792-5132

NPI assigned

Oct 12, 2006

Last updated

Nov 17, 2009By 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

Kyle Pulliam

Title

Owner Pharmacist

Phone

(706) 854-2424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

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.

• Christopher James Davidson, RPH

  • Pharmacist
  • Augusta, GA
  • NPI 1790830768
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1447349998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 PEACH ORCHARD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063521",
            "telephone_number": "706-792-5130",
            "fax_number": "706-792-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 PEACH ORCHARD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063521",
            "telephone_number": "706-792-5130",
            "fax_number": "706-792-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKCO ENTERPRISES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "706-854-2424"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030643A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane S Bairas, PA
• Christine Tanjutco Baird, M.D.
• Blaire Baisden, M.D.
• Charles R Baisden, MD
• Shalini Bajaj
• Richard James Bakeman, DDS
• Calevin Baker
• David L Baker, DO
• Keionna J Baker, MS
• Krystal Till Baker, M.D.

• Pharmacy in Augusta, GA
• Providers in Augusta, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.