Andrew James Bahl, RPH
Individual provider Active NPI Pharmacist · Monett, MO
NPI 1497732077 · NPPES record last updated Apr 18, 2014
Key facts
- NPI
- 1497732077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 045001 (MO)
- Practice address
- 321 E Broadway St
Monett, MO 65708-2329 - Phone
- (417) 235-3139
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 12612 | KS | MD | Pharmacist |
| 045001 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruners Monett Pharmacy Inc | Current |
Accepting new patients | |
| Bruners Monett Pharmacy Inc | Current |
Accepting new patients | |
| BBC Pharmacy Corporation | Current | Accepting new patients |
Locations
321 E Broadway St
Monett, MO 65708
Phone (417) 235-3139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045001 | MO | Yes |
| Pharmacist | 183500000X | 12612 | KS |
Addresses
Primary practice location
321 E Broadway St
Monett, MO 65708-2329
Mailing address
1873 West Fawn CT
Monett, MO 65708-1014
Phone (417) 236-0155
Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2014. 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.