Individual provider Active NPI

Matthew Baker, PHARMD

  • Pharmacist
  • Miami, FL
National Provider Identifier
1073917290
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54352 Issued in FL
Practice address
3301 NE 1St Ave Apt 2406
Miami, FL 33137-4280
Phone
(716) 597-7468
NPI assigned
Oct 17, 2014
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS54352 FL Primary
Pharmacy Technician 183700000X PSI28504 FL

Addresses

Primary practice location

3301 NE 1St Ave Apt 2406
Miami, FL 33137-4280

Mailing address

3301 NE 1St Ave Apt 2406
Miami, FL 33137-4280
Phone (716) 597-7468

Other practice location 1

610 Clematis St Apt 838
West Palm Beach, FL 33401-5329
Phone (716) 597-7468

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS54352FLMDPharmacist
PSI28504FLMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1073917290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NE 1ST AVE APT 2406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374280",
            "telephone_number": "716-597-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NE 1ST AVE APT 2406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374280",
            "telephone_number": "716-597-7468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Clematis St Apt 838",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334015329",
            "country_code": "US",
            "telephone_number": "716-597-7468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54352",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "PSI28504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.