Active NPI
Jason Lee Bandy, PHARM. D.
- Pharmacotherapy Pharmacist
- Sacramento, CA
National Provider Identifier
1700939881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 52511
- Practice address
- 4860 Y St
Suite 0400 - Internal Medicine - Anticoag Clinic
Sacramento, CA 95817-2307 - Phone
- (916) 734-1482
- Fax
- (916) 734-7402
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 52511 | CA | Primary |
Addresses
Primary practice location
4860 Y St
Suite 0400 - Internal Medicine - Anticoag Clinic
Sacramento, CA 95817-2307
Mailing address
6321 Vilamoura Way
Elk Grove, CA 95757-3415
Phone (916) 734-1482
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52511 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700939881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6321 VILAMOURA WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957573415",
"telephone_number": "916-734-1482",
"fax_number": "916-734-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "SUITE 0400 - INTERNAL MEDICINE - ANTICOAG CLINIC",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-1482",
"fax_number": "916-734-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDY",
"first_name": "JASON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "52511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.