Meghan Xanthe Baker, CPHT, PP
Individual provider Active NPI Pharmacy Technician · Rex, GA
NPI 1134730641 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1134730641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- PHTC017024 (GA)
- Practice address
- 3530 Wellington Ter
Rex, GA 30273-2361 - Phone
- (404) 433-1392
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHTC017024 | GA | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHTC017024 | GA | Yes |
Addresses
Primary practice location
3530 Wellington Ter
Rex, GA 30273-2361
Mailing address
3530 Wellington Ter
Rex, GA 30273-2361
Phone (404) 433-1392
Other providers in Rex, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. 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.