Active NPI
Phillip Bruce Bailey
- Pharmacist
- Abilene, TX
National Provider Identifier
1669025532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24398
- Practice address
- 920 N Willis St
Abilene, TX 79603-4621 - Phone
- (325) 677-1362
- Fax
- (325) 677-2428
- NPI assigned
- Jul 19, 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 | 24398 | TX | Primary |
Addresses
Primary practice location
920 N Willis St
Abilene, TX 79603-4621
Mailing address
920 N Willis St
Abilene, TX 79603-4621
Phone (325) 677-1362
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.
-
- Community/Retail Pharmacy
- Abilene, TX
- NPI 1407834088
-
- Community/Retail Pharmacy
- Rio Rancho, NM
- NPI 1346061900
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 |
|---|---|---|---|
| 24398 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Supermarkets LLC | Past | Accepting new patients | |
| United Supermarkets LLC | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1669025532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N WILLIS ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796034621",
"telephone_number": "325-677-1362",
"fax_number": "325-677-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N WILLIS ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796034621",
"telephone_number": "325-677-1362",
"fax_number": "325-677-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PHILLIP",
"middle_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.