Blake William Baumann, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Kansas City, MO
NPI 1104347277 · NPPES record last updated Jun 29, 2017
Key facts
- NPI
- 1104347277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 2016021945 (MO)
- Practice address
- 2301 Homes St
Kansas City, MO 64108 - Phone
- (816) 404-1000
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2016021945 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 2016021945 | MO | Yes |
Addresses
Primary practice location
2301 Homes St
Kansas City, MO 64108
Mailing address
408 W 8TH St Apt 505
Kansas City, MO 64105-1525
Phone (913) 909-2698
Other providers in Kansas City, MO
- Macy Holland Baugh
- Tracey Amanda Baugher
- Virginia A Bauler
- Alan E Bauman
- Kathryn Elizabeth Bauman
- Ramona L Baumfalk
- Jessica M Baumgarten
- Teresa Renea Baumli
- Summer Elyse Baumstark
- Gregory Paul Bausch
All providers in Kansas City, MO · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2017. 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.