Individual provider · Type 1 NPI

Nadara Disha Bacon

Pharmacist · Philadelphia, PA

NPI number 1689529240 Active

Practice location

6201 Homer St
Philadelphia, PA 19144-1620

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP459965 (PA)

Pharmacist: 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…

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About NPI 1689529240

Nadara Disha Bacon's National Provider Identifier is 1689529240, issued on Feb 28, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 28, 2026.