Michael James Bahl, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

117989 Issued in MN

Practice address

3850 Park Nicollet Blvd
Pharmacy
St Louis Park, MN 55416-2527

Phone

(952) 993-3148

Fax

(952) 993-1007

NPI assigned

May 25, 2010

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1972822245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 PARK NICOLLET BLVD",
            "address_2": "PHARMACY",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162527",
            "telephone_number": "952-993-3148",
            "fax_number": "952-993-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 PARK NICOLLET BLVD",
            "address_2": "PHARMACY",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162527",
            "telephone_number": "952-993-3148",
            "fax_number": "952-993-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHL",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ornina Bachour, MD
• Adrienne Backus
• Lindsey Kay Bade, PHD, MS, CGC
• Regula Badertscher Gallo
• Courtney Jordan Baechler, M.D.
• James M Bahrke, PA-C
• Brin A Bailey, MSW, LICSW
• Jane Allison Bailey, M.D.
• Betty Bajwa, R.D., L.D., C.D.E.
• Katherine Michelle Baker-Lange, M.S, CGC

• Pharmacist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.