Kimberly Baker, PHARMD
Individual provider Active NPI Pharmacist · Tucson, AZ
NPI 1063966091 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1063966091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 013380 (AZ)
- Practice address
- 4891 E Grant Rd
Tucson, AZ 85712-2704 - Phone
- (520) 428-7277
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013380 | AZ | MD | Pharmacist |
| 19044 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013380 | AZ | Yes |
| Pharmacist | 183500000X | 19044 | NV |
Addresses
Primary practice location
4891 E Grant Rd
Tucson, AZ 85712-2704
Mailing address
4891 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 428-7277
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. 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.