Individual provider Active NPI

David Gregory Baker

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1083510952
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP460754 Issued in PA
Practice address
1906 Wallace St Apt a
Philadelphia, PA 19130-5004
Phone
(804) 929-1876
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP460754 PA Primary

Addresses

Primary practice location

1906 Wallace St Apt a
Philadelphia, PA 19130-5004

Mailing address

1906 Wallace St Apt a
Philadelphia, PA 19130-5004
Phone (804) 929-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1083510952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 WALLACE ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191305004",
            "telephone_number": "804-929-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 WALLACE ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191305004",
            "telephone_number": "804-929-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP460754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.