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DERRICK BACON PHARMACY TECH
NPI 1104544071
Pharmacy Technician in Pontiac, MI

Active since August 17, 2022
360 MARTIN LUTHER KING JR BLVD N, PONTIAC, MI 48342(248) 332-0602 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Bacon Pharmacy Tech NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK BACON PHARMACY TECH (NPI 1104544071) is an individual pharmacy technician in Pontiac, Michigan, licensed in Michigan (5303041916) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1104544071
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameDERRICK BACONCredential: PHARMACY TECH
Location Address360 MARTIN LUTHER KING JR BLVD NPontiac, MI 48342-1712
Mailing Address360 Martin Luther King Jr Blvd NPontiac, MI 48342-1712 · (248) 332-0602
Phone(248) 332-0602
Sole ProprietorNo
Enumeration DateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
✔ NPI 1104544071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in MI · 5303041916
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
360 MARTIN LUTHER KING JR BLVD N, Pontiac, MI 48342
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. OLAOLU A AKINBIYI B.PHARM
Pharmacist
360 MARTIN LUTHER KING JR BLVD N
PONTIAC, MI 48342
Oakland County (248) 335-0602
DR. MARK HANNA PHARM. D.
Pharmacist
360 MARTIN LUTHER KING JR BLVD N
PONTIAC, MI 48342
Oakland County (248) 335-0602
MOHAMAD RAYESS
Pharmacist
360 MARTIN LUTHER KING JR BLVD N
PONTIAC, MI 48342
Oakland County (248) 335-0602
SCOTT GERALD KOHN
Pharmacist
360 MARTIN LUTHER KING JR BLVD N
PONTIAC, MI 48342
Oakland County (248) 335-0602
DR. RYAN PHILIP BROWNE PHARMD
Pharmacist
360 MARTIN LUTHER KING JR BLVD N
PONTIAC, MI 48342
Oakland County (248) 335-0602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Bacon's NPI number?

The NPI number for Derrick Bacon is 1104544071. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Where is Derrick Bacon located?

Derrick Bacon practices at 360 Martin Luther King Jr Blvd N, Pontiac, MI 48342. The listed phone number is (248) 332-0602.

What is Derrick Bacon's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Derrick Bacon was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.