Active NPI
Henry Lawrence Bargert
- Pharmacist
- San Rafael, CA
National Provider Identifier
1659935948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41250
- Practice address
- 442 Las Gallinas Ave
San Rafael, CA 94903-3618 - Phone
- (415) 479-9171
- NPI assigned
- Apr 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41250 | CA | Primary |
Addresses
Primary practice location
442 Las Gallinas Ave
San Rafael, CA 94903-3618
Mailing address
442 Las Gallinas Ave
San Rafael, CA 94903-3618
Phone (415) 479-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41250 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1659935948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 LAS GALLINAS AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033618",
"telephone_number": "415-479-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 LAS GALLINAS AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033618",
"telephone_number": "415-479-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGERT",
"first_name": "HENRY",
"middle_name": "LAWRENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-23",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.