B & D Pharmacy Inc

Key facts

NPI

1649281148

Entity type

Organization (NPI type 2)

Primary specialty

Pharmacy 333600000X

License

054013555 (IL)

Legal business name

B & D PHARMACY INC

Practice address

2007 Camp Jackson Rd
Cahokia, IL 62206-2544

Phone

(618) 332-2500

Fax

(618) 332-2124

NPI assigned

Aug 10, 2006

Organization subpart

No

Authorized official

Name

John Bailey

Title

Chief Operations Officer

Phone

(618) 332-2500

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• fisher pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2012.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1649281148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062544",
            "telephone_number": "618-332-2500",
            "fax_number": "618-332-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062544",
            "telephone_number": "618-332-2500",
            "fax_number": "618-332-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & D PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "618-332-2500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054013555",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1408942",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fisher pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Cahokia, IL · Pharmacy in Illinois