Bailey Dendy Walls
Individual provider Active NPI Pharmacist · Sinton, TX
NPI 1689330128 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1689330128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 69626 (TX)
- Practice address
- 200 S Rachal St
Sinton, TX 78387-2524 - Phone
- (361) 364-1416
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69626 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Moore'S Pharmacy Inc. | Past | Accepting new patients |
Locations
300 E Houston St
Beeville, TX 78102
Phone (361) 362-0469
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69626 | TX | Yes |
Addresses
Primary practice location
200 S Rachal St
Sinton, TX 78387-2524
Mailing address
300 E Houston St
Beeville, TX 78102-4822
Other providers in Sinton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. 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.