Brenen James Baumgartner, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

P8490 Issued in ID

Practice address

208 W Ironwood Dr
Coeur D Alene, ID 83814-2640

Phone

(208) 664-6185

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1023653292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "208-664-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "208-664-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "BRENEN",
        "middle_name": "JAMES",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Barton
• Haley Basnaw, PHARMD
• Mary Gerard Battaglia, ARNP
• Michele Moore Bauer, LCSW
• Tracy A Bauhs, CBRS
• Wayne D Baures, RPH
• Michelle L Baxter, ARNP
• Tyler Mitchell Baxter, DPT, OCS, ATC, CSCS
• Be Well Therapy Group of Idaho PLLC
• Erika Jean Beachler, M.T.

• Pharmacist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.