Active NPI
Charles Martin Bahr, R.PH.
- Pharmacist
- Rapid City, SD
National Provider Identifier
1740414309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2862
- Practice address
- 3200 Cayon Lake Drive Room 235
PHS Indian Hospital
Rapid City, SD 57702 - Phone
- (605) 355-2309
- NPI assigned
- May 12, 2009
- Last updated
- May 12, 2009
- 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 | 2862 | WY | Primary |
Addresses
Primary practice location
3200 Cayon Lake Drive Room 235
PHS Indian Hospital
Rapid City, SD 57702
Mailing address
3200 Cayon Lake Drive
PHS Indian Hospital
Rapid City, SD 57702
Phone (605) 355-2309
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2862 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1740414309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CAYON LAKE DRIVE",
"address_2": "PHS INDIAN HOSPITAL",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57702",
"telephone_number": "605-355-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CAYON LAKE DRIVE ROOM 235",
"address_2": "PHS INDIAN HOSPITAL",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57702",
"telephone_number": "605-355-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHR",
"first_name": "CHARLES",
"middle_name": "MARTIN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.