MR. WILLIAM JOSEPH BACON (NPI# 1699957035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699957035 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JOSEPH BACON |
| Credential | RPH |
| Practice Address |
600 Roe Ave Elmira NY 14905-1629 |
| Practice Telephone | 6077374311 |
| Practice Fax Number | 6077377760 |
| Mailing Telephone | 6077374311 |
| Mailing Fax Number | 6077377760 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 35971 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902168669 | William John Bacon | Contractor | 902 E 12th Ave, Webster, SD 57274-2300 | 2012-06-08 |
| 1427197631 | William Louis Bacon | Orthopaedic Surgery | 206 E Adair St, Valdosta, GA 31601-4508 | 2007-02-05 |
| 1932258084 | William Carl Bacon | Marriage & Family Therapist | 50 Hurt Plz Se, Suite 800, Atlanta, GA 30303-2946 | 2007-01-09 |
| 1295898344 | William Harrison Bacon IIi | Dentist | 1250 Thompson Rd, Coos Bay, OR 97420-2538 | 2006-12-19 |
| 1730181942 | William T Bacon | Physician Assistant | 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752 | 2005-06-01 |
| 1609014489 | William Russell Bacon | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2009-02-02 |
| 1073643052 | William L Bacon | Dentist | 183 Addison, Elmhurst, IL 60126 | 2007-03-07 |
| 1396769634 | William W Bacon | Family Medicine | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 | 2006-07-27 |
| 1720002470 | William Albert Bacon | Registered Nurse | 3810 Central Ave, Ste H, Hot Springs, AR 71913-6921 | 2006-07-26 |
| 1457342354 | William Gordan Bacon | Family Medicine | 935 Elizaville Ave, Flemingsburg, KY 41041-9210 | 2005-10-31 |
| Street Address |
600 ROE AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1053933499 | Branden Riggins | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-08 |
| 1184245664 | Bradley Steven Phelps | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-06 |
| 1497376263 | Lucas Edward Place | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-02 |
| 1568083475 | John Michael Yavorski IIi | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-01 |
| 1083235139 | Devin Craig Thompson | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-29 |
| 1538780887 | Alexandra Helena Sheriff | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-28 |
| 1801417217 | Fatima Asfia Qadri | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-27 |
| 1376163386 | Jaskarn Virk | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790163632 | Daniel L Prohotsky | Pharmacist | 1000 Pennslyvania Ave, Elmira, NY 14904-2609 | 2015-05-12 |
| 1639438690 | Mary Ann Klee | Pharmacist | 930 County Rd 64, T-2158, Elmira, NY 14903 | 2012-05-11 |
| 1497070817 | Bushra Bano Sheikh | Pharmacist | 49 Estates Drive, Elmira, NY 14903-7978 | 2010-03-29 |
| 1699097626 | Andrea D Mucitelli | Pharmacist | 830 Consumer Square Plaza, Rt 64, Elmira, NY 14903 | 2010-02-18 |
| 1487889721 | Mohammed Latif | Pharmacist | 116 Second St., Elmira, NY 14908 | 2009-05-15 |
| 1023292083 | Lynda M Overstrom | Pharmacist | 830 Consumer Square Plaza, Elmira, NY 14903 | 2007-12-26 |
| 1508047515 | Kenneth Edward Mantei | Pharmacist | 119 W. 2nd, Elmira, NY 14901 | 2007-11-19 |
| 1023218336 | Steven Michael Cheplick | Pharmacist | 1666 Grand Central Ave, Elmira, NY 14903-1947 | 2007-07-24 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1891392320 | Arin Reid Schlott | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2020-10-07 |
| Find all providers in ELMIRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.