Active NPI
John Christopher Bauer
- Pharmacist
- Charlottesville, VA
National Provider Identifier
1760086250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 202212928
- Practice address
- 1417 University Ave
Charlottesville, VA 22903-2606 - Phone
- (434) 244-4028
- Fax
- (434) 244-7908
- NPI assigned
- Nov 24, 2020
- 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 | 202212928 | VA | Primary |
Addresses
Primary practice location
1417 University Ave
Charlottesville, VA 22903-2606
Mailing address
68 Wood Duck LN
Zion Crossroads, VA 22942-6531
Phone (727) 366-3792
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 |
|---|---|---|---|
| 202212928 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1760086250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 WOOD DUCK LN",
"city": "ZION CROSSROADS",
"state": "VA",
"postal_code": "229426531",
"telephone_number": "727-366-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 UNIVERSITY AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032606",
"telephone_number": "434-244-4028",
"fax_number": "434-244-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "JOHN",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "202212928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.