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Ft Bayard Medical Center Department of Health

NPI 1396106670ActiveOrganization· Pharmacy, Community/Retail Pharmacy· Santa Clara, NM

Pharmacy, Community/Retail Pharmacy in Santa Clara, New Mexico, registered in NPPES in March 2016. The authorized official on file is Jon Mark Bailey, RPH, Director Of Pharmacy.

Overview

NPI1396106670
StatusActive
Entity typeOrganization
NPI issuedMar 14, 2016
Last updated in NPPESMar 14, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Community/Retail Pharmacy Primary3336C0003X3336L0003XNM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years