THEODORE MICHAEL BUJAK, Pharm.D. — NPI 1912197658 (Licensed & Credentialed Pharmacist, Pharmacotherapy in DAYTON, NV)

CMS-1500 Box 24J / 33a • NPI

1912197658

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835P1200X

Licensed & Credentialed Pharmacist, Pharmacotherapy

Box 32 Service Location & ZIP+4

325 STILLWATER DR, DAYTON, NV, 89403-9029

✓ 9-Digit EDI 837 ZIP+4 (89403-9029)

Practice Phone & Referral Fax

(775) 246-7268

Fax: (775) 246-7268

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912197658 (THEODORE MICHAEL BUJAK, Pharm.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1912197658` (NPI-1 Individual Practitioner)
Provider / Legal Name	THEODORE MICHAEL BUJAK, Pharm.D.
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacotherapy NUCC Code: `1835P1200X` (Pharmacist, Pharmacotherapy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	325 STILLWATER DR, DAYTON, NV, 89403-9029
Practice Telephone / Fax	Tel: (775) 246-7268 \| Fax: (775) 246-7268
Administrative Mailing Address	325 STILLWATER DR, DAYTON, NV, 89403-9029
Enumeration & Last Sync	Enumerated: 2007-07-30 \| CMS Record Updated: 2007-07-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

325 STILLWATER DR, DAYTON, NV, 89403-9029

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Plain-English Taxonomy & CMS Crosswalk (1835P1200X)

What Does Taxonomy Code 1835P1200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P1200X translates to:
"Licensed & Credentialed Pharmacist, Pharmacotherapy"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Pharmacotherapy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THEODORE MICHAEL BUJAK, Pharm.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835P1200X` — Pharmacist, Pharmacotherapy Plain English: Licensed & Credentialed Pharmacist, Pharmacotherapy	State: NV \| License: `10230` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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THEODORE MICHAEL BUJAK, Pharm.D. (NPI #1912197658)