Active NPI
Dustin Lucas Baum, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Huntington, WV
National Provider Identifier
1124656509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP0010529
- 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
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 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0010529 | WV | MD | Pharmacist 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.