DWAYNIE BACON JR.
NPI 1366239980
Pharmacist in Bullhead City, AZ

Active since April 24, 2025
2410 HIGHWAY 95, BULLHEAD CITY, AZ 86442(928) 219-4700 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dwaynie Bacon Jr. NPPES

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

DWAYNIE BACON JR. (NPI 1366239980) is an individual pharmacist in Bullhead City, Arizona, licensed in Arizona (S026811) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1366239980
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDWAYNIE BACON JR.
Location Address2410 HIGHWAY 95Bullhead City, AZ 86442-7305
Mailing Address2328 Ryan WayBullhead City, AZ 86442-8699 · (702) 292-3798
Sole ProprietorYes
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1366239980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S026811
Definition
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.
2410 HIGHWAY 95, Bullhead City, AZ 86442

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
2410 HIGHWAY 95
BULLHEAD CITY, AZ 86442
Pharmacy (Long Term Care Pharmacy)
2410 HIGHWAY 95
BULLHEAD CITY, AZ 86442

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 Dwaynie Bacon's NPI number?

The NPI number for Dwaynie Bacon is 1366239980. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Dwaynie Bacon located?

Dwaynie Bacon practices at 2410 Highway 95, Bullhead City, AZ 86442. The listed phone number is (928) 219-4700.

What is Dwaynie Bacon's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Dwaynie Bacon was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.