William C de Baca Sr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26349 Issued in TX

Practice address

215 N Carrier Pkwy
Grand Prairie, TX 75050-5425

Phone

(972) 642-8888

Fax

(972) 642-9257

NPI assigned

Jun 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Albertsons LLC

  • Community/Retail Pharmacy
  • Grand Prairie, TX
  • NPI 1376580837
  NPD (past)
• Albertsons LLC

  • Community/Retail Pharmacy
  • Ardmore, OK
  • NPI 1134958457
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1922489434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NEWT PATTERSON RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631663",
            "telephone_number": "972-642-8888",
            "fax_number": "972-642-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505425",
            "telephone_number": "972-642-8888",
            "fax_number": "972-642-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "C DE BACA",
        "first_name": "WILLIAM",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "26349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Chemutai Busienei Bii, PMHNP-BC
• Katelyn Renee Bustillos
• Maram Butah, DDS
• Nanda Bysani, MD
• C & M Pediatric Associates P a
• C3 Academy, LLC
• C3 Christian Academy, Inc.
• Hope Alyssa Cachay, RD, LD
• Kendall Cain, SLP
• Kristen Lashawn Cain, LSSP

• Pharmacist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.