Mary Caitlin Baggett
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Atlanta, GA
NPI 1013548809 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1013548809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 031532 (GA)
- Practice address
- 1225 Caroline St NE
Atlanta, GA 30307-2705 - Phone
- (404) 880-4109
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031532 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past |
Accepting new patients | |
| Kroger Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 031532 | GA | Yes |
Addresses
Primary practice location
1225 Caroline St NE
Atlanta, GA 30307-2705
Mailing address
1225 Caroline St NE
Atlanta, GA 30307-2705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-031532 | Other | GA | BOARD OF PHARMACY |
Other providers in Atlanta, GA
- Laura Baeumel
- Maria Rose Baez
- Stephen Paul Baffic
- Shannon Busby Bagga
- Margaret Scheuerman Baggett
- Olivia Baggett
- Adel Bagh
- Elham Bagheri
- Prabhava Bagla
- Anna Jane Bagley
All providers in Atlanta, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.