Organization Active NPI

Bayos Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1861573008
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19717 Issued in TX
Legal business name
BAYOS PHARMACY
Practice address
2100 W Colorado Blvd
Dallas, TX 75211
Phone
(214) 943-4631
Fax
(214) 948-9445
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Taufeek Adebayo Ajuwon, RPH
Title
President Pharmacist in Charge
Phone
(214) 948-9441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 19717 TX Primary

Addresses

Primary practice location

2100 W Colorado Blvd
Dallas, TX 75211

Mailing address

PO Box 764425
Dallas, TX 75376-4425
Phone (214) 948-9441

Other identifiers 1

IdentifierTypeStateIssuer
144827MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1861573008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753764425",
            "telephone_number": "214-948-9441",
            "fax_number": "214-948-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75211",
            "telephone_number": "214-943-4631",
            "fax_number": "214-948-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "AJUWON",
        "authorized_official_first_name": "TAUFEEK",
        "authorized_official_middle_name": "ADEBAYO",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "214-948-9441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.