Active NPI
Mark Baer, PHARMACIST/RPH
- Pharmacist
- Greensboro, NC
National Provider Identifier
1073923108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14189
- Practice address
- 121 W Elmsley St
Greensboro, NC 27406-8276 - Phone
- (336) 370-0353
- Fax
- (336) 370-0393
- NPI assigned
- Apr 29, 2014
- Last updated
- Apr 29, 2014
- 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 | 14189 | NC | Primary |
Addresses
Primary practice location
121 W Elmsley St
Greensboro, NC 27406-8276
Mailing address
7607 Blue Sage CT
Summerfield, NC 27358-9346
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 |
|---|---|---|---|
| 14189 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
dba Walmart Pharmacy 10-5320
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1699793497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1073923108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 BLUE SAGE CT",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W ELMSLEY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068276",
"telephone_number": "336-370-0353",
"fax_number": "336-370-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "PHARMACIST/RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.