Thomas Bacon, PHARMD

Pharmacist · Nellis Afb, NV

Individual Active NPI

NPI number 1124428529

Practice location

4700 Las Vegas Blvd N
99 Mdos/CC
Nellis Afb, NV 89191-6600
Phone
(702) 653-2031
Fax
(702) 653-2110

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NPI record

NPI
1124428529
Entity type
Individual (Type 1)
Enumeration date
September 4, 2014
Last updated
September 4, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH016043 GA

Mailing address

4700 Las Vegas Blvd N
99 Medical Operations Squadron / Commander
Nellis Afb, NV 89191-6600
Phone
(702) 653-2031
Fax
(702) 653-2110

About Dr. Bacon

Thomas Bacon, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4700 Las Vegas Blvd N, 99 Mdos/CC, Nellis Afb, NV 89191-6600. The NPI number 1124428529 was assigned on September 4, 2014 and the record was last updated on September 4, 2014.

Dr. Bacon lists a license in the registry: #RPH016043 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Bacon, PHARMD?

The NPI number is 1124428529.

What is the phone number of Dr. Bacon?

The phone number listed for the practice location is (702) 653-2031.

Where is Dr. Bacon located?

4700 Las Vegas Blvd N, 99 Mdos/CC, Nellis Afb, NV 89191-6600.

What is the taxonomy code for Dr. Bacon?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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