IndividualActive
Dwaynie Bacon
NPI 1366239980 · Pharmacist · Bullhead City, AZ
Dwaynie Bacon is a Pharmacist provider in Bullhead City, AZ (NPI 1366239980).
Provider details
- NPI number
- 1366239980
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- S026811 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2410 Highway 95
Bullhead City, AZ 86442-7305
Phone: (928) 219-4700
Street-level locationGet directions
Mailing address
2328 Ryan Way
Bullhead City, AZ 86442-8699
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Dwaynie Bacon's NPI number?
- Dwaynie Bacon's National Provider Identifier (NPI) is 1366239980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwaynie Bacon's specialty?
- Dwaynie Bacon is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Dwaynie Bacon located?
- Dwaynie Bacon's practice location on file with NPPES is 2410 Highway 95, Bullhead City, AZ 86442-7305.
- What is Dwaynie Bacon's phone number?
- The practice phone number listed in the NPPES registry for Dwaynie Bacon is (928) 219-4700.
- Is Dwaynie Bacon's NPI active?
- Yes — Dwaynie Bacon's NPI (1366239980) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.