Individual provider Active NPI

Dustin Lucas Baum, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Huntington, WV
National Provider Identifier
1124656509
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RP0010529 Issued in WV
Practice address
1600 Medical Center Dr Ste B500
Huntington, WV 25701-3655
Phone
(304) 691-1779
Fax
(304) 691-1882
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP0010529 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste B500
Huntington, WV 25701-3655

Mailing address

17796 Hannan Trace Rd
Crown City, OH 45623-9015
Phone (330) 447-2119

Other practice location 1

17796 Hannan Trace Rd
Crown City, OH 45623-9015
Phone (330) 447-2119

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address baum6@marshall.edu Direct

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
RP0010529WVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124656509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17796 HANNAN TRACE RD",
            "city": "CROWN CITY",
            "state": "OH",
            "postal_code": "456239015",
            "telephone_number": "330-447-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE B500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013655",
            "telephone_number": "304-691-1779",
            "fax_number": "304-691-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17796 Hannan Trace Rd",
            "address_purpose": "LOCATION",
            "city": "Crown City",
            "state": "OH",
            "postal_code": "456239015",
            "country_code": "US",
            "telephone_number": "330-447-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "DUSTIN",
        "middle_name": "LUCAS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0010529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "baum6@marshall.edu",
            "affiliation": "Y",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1600 Medical Center Dr Ste B500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.