Active NPI
Samuel Kwaku Peprah Baidoo
- Pharmacist
- Springfield, MA
National Provider Identifier
1033862263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH233304
- Practice address
- 300 Cooley St
Springfield, MA 01128-1801 - Phone
- (413) 783-0105
- Fax
- (413) 783-0328
- NPI assigned
- Jan 28, 2022
- Last updated
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
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 | PH233304 | MA | Primary |
Addresses
Primary practice location
300 Cooley St
Springfield, MA 01128-1801
Mailing address
300 Cooley St
Springfield, MA 01128-1801
Phone (413) 783-0105
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH233304 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Y Foods Inc | Past | Accepting new patients | |
| Big Y Foods, Inc | 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": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1033862263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COOLEY ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011281801",
"telephone_number": "413-783-0105",
"fax_number": "413-783-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COOLEY ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011281801",
"telephone_number": "413-783-0105",
"fax_number": "413-783-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIDOO",
"first_name": "SAMUEL",
"middle_name": "KWAKU PEPRAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH233304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.