Mr. Brent Jude Bashaw
Pharmacist
675 Troy Schenectady Rd, Target Pharmacy T1915, Latham
New York, 12110-2493
518-782-1360 Mr. Brent Jude Bashaw is a pharmacist in Latham, New York. Patients can reach him at 675 Troy Schenectady Rd, Target Pharmacy T1915, Latham or contact him on 518-782-1360. Active license number of Mr. Brent Jude Bashaw is 040628 for Pharmacist in New York.
Mr. Brent Jude Bashaw is 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.
Complete Profile:
Mr. Brent Jude Bashaw speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Brent Jude Bashaw |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 675 Troy Schenectady Rd, Target Pharmacy T1915, Latham,
New York, 12110-2493 |
| Phone: | 518-782-1360 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Brent Jude Bashaw are as mentioned below.
| NPI Number: | 1225210768 |
| NPI Enumeration Date: | 27 Nov, 2007 |
| NPI Last Update On: | 11 May, 2010 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Brent Jude Bashaw are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 040628 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Brent Jude Bashaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01309571 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 40 Linda Ln,
Schenectady, New York |
| Zip: | 12309-1962 |
| Phone Number: | 518-452-0148 |
Patients can reach Mr. Brent Jude Bashaw at
675 Troy Schenectady Rd, Target Pharmacy T1915, Latham, New York or can
call on phone at 518-782-1360.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.