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DR. JASON BAILLY PHARM D.
NPI 1649251307
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Diego, CA

Active since November 09, 2005
4168 FRONT ST # 1-127, SAN DIEGO, CA 92103(619) 543-5933(619) 543-6784 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jason Bailly Pharm D. NPPES

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

DR. JASON BAILLY PHARM D. (NPI 1649251307) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in San Diego, California, licensed in California (RPH60771) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1649251307
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. JASON BAILLYCredential: PHARM D.
Location Address4168 FRONT ST # 1-127San Diego, CA 92103-2030
Mailing Address4168 Front St # 1-127San Diego, CA 92103-2030 · (619) 543-5933 · Fax (619) 543-6784
Phone(619) 543-5933
Fax(619) 543-6784
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateAugust 31, 2011
✔ NPI 1649251307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in CA · RPH60771
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
4168 FRONT ST # 1-127, San Diego, CA 92103
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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 Jason Bailly's NPI number?

The NPI number for Jason Bailly is 1649251307. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Jason Bailly located?

Jason Bailly practices at 4168 Front St # 1-127, San Diego, CA 92103. The listed phone number is (619) 543-5933.

What is Jason Bailly's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jason Bailly was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.