Faheem Baki
Individual provider Active NPI Pharmacist · Truckee, CA
NPI 1215697495 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1215697495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 85772 (CA)
- Practice address
- 11230 Donner Pass Rd
Truckee, CA 96161-4808 - Phone
- (530) 587-5296
- NPI assigned
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 85772 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85772 | CA | Yes |
Addresses
Primary practice location
11230 Donner Pass Rd
Truckee, CA 96161-4808
Mailing address
10599 Jibboom St Apt E303
Truckee, CA 96161-0130
Phone (480) 353-0597
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. 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.