Terry Lewis Bain

Key facts

NPI

1497053615

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

28RI01324100 (NJ)

Practice address

3258 Bridge Ave
Point Pleasant Boro, NJ 08742-3459

Phone

(732) 892-5673

Fax

(732) 892-4457

NPI assigned

Mar 11, 2011

Sex

Male

Sole proprietor

No

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.

• Rite Aid of New Jersey Inc Community/Retail Pharmacy · Jersey City, NJ · NPI 1467561803
  NPD (past)
• Rite Aid of New Jersey Inc Community/Retail Pharmacy · Point Pleasant Boro, NJ · NPI 1629187042
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2011.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1497053615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FILBERT RUN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284115",
            "telephone_number": "732-409-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 BRIDGE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423459",
            "telephone_number": "732-892-5673",
            "fax_number": "732-892-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "TERRY",
        "middle_name": "LEWIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01324100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Point Pleasant Boro, NJ · Pharmacist in New Jersey