Kayli Bardell, PHARMD
Individual provider Active NPI Pharmacist · Bismarck, ND
NPI 1770072043 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1770072043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH5695 (ND)
- Practice address
- 300 N 7TH St
Sanford Retail Pharmacy
Bismarck, ND 58501-4439 - Phone
- (701) 323-5420
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH5695 | ND | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5695 | ND | Yes |
Addresses
Primary practice location
300 N 7TH St
Sanford Retail Pharmacy
Bismarck, ND 58501-4439
Mailing address
300 N 7TH St
Sanford Retail Pharmacy
Bismarck, ND 58501-4439
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2018. 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.