Individual provider Active NPI

Jae Bae, PHARMD

  • Pharmacist
  • Warminster, PA
National Provider Identifier
1154643187
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438777 Issued in PA
Practice address
1535 W Street Rd
Warminster, PA 18974-3100
Phone
(215) 442-1300
Fax
(215) 442-1301
NPI assigned
Feb 18, 2010
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438777 PA Primary

Addresses

Primary practice location

1535 W Street Rd
Warminster, PA 18974-3100

Mailing address

1535 W Street Rd
Warminster, PA 18974-3100
Phone (215) 442-1300

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
RP438777PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Warminster Drugs Inc Current Accepting new patients
Chelten Drugs,Inc Past Accepting new patients

Locations

1535 W Street Rd
Warminster, PA 18974
Phone (215) 442-1300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1154643187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W STREET RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743100",
            "telephone_number": "215-442-1300",
            "fax_number": "215-442-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W STREET RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743100",
            "telephone_number": "215-442-1300",
            "fax_number": "215-442-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "JAE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.