Prasanna P Bafana, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

17557 Issued in NC

Practice address

6216 Fayetteville Rd Ste 105
Durham, NC 27713-6287

Phone

(919) 908-0200

Fax

(919) 908-0205

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Prasannakumar P Bafana Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Clinic Pharmacy Croasdaile, LLC

  dba Clinic Pharmacy

  • Community/Retail Pharmacy
  • Durham, NC
  • NPI 1740044668
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1659404184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-908-0200",
            "fax_number": "919-908-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-908-0200",
            "fax_number": "919-908-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFANA",
        "first_name": "PRASANNA",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRASANNAKUMAR",
            "last_name": "BAFANA",
            "middle_name": "P",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole Badgley
• Gilisa Ivette Badillo Boria, MSW, LCSWA
• Manuel Tapia Badillo, PHARMD
• Jonathan Gregory Bae, MD
• Kathryn M. Baerman, MD
• Ward Parker Baggett, LCSW
• Adrianne W. Bagley, MD
• Madison Bess Bagley
• Tanisha Bagley
• Carleen Bagnall

• Pharmacist in Durham, NC
• Providers in Durham, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.