Active NPI
Daniel Thomas Baker, PH.C., R.PH.
- Pharmacist
- Roswell, NM
National Provider Identifier
1033375324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00004136
- Practice address
- 1835 N Main St
Roswell, NM 88201-5168 - Phone
- (575) 624-0423
- Fax
- (575) 622-6414
- NPI assigned
- Aug 6, 2008
- Last updated
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00004136 | NM | Primary |
Addresses
Primary practice location
1835 N Main St
Roswell, NM 88201-5168
Mailing address
905 S Eisenhower Rd
Roswell, NM 88203-8706
Phone (575) 637-8932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00004136 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1033375324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 S EISENHOWER RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882038706",
"telephone_number": "575-637-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 N MAIN ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015168",
"telephone_number": "575-624-0423",
"fax_number": "575-622-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PH.C., R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00004136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.