Individual provider Active NPI

Iris Matilde Fink-Baldauf

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1225630684
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03120447 Issued in OH
Practice address
8451 Colerain Ave
Cincinnati, OH 45239-3926
Phone
(513) 245-9467
Fax
(513) 245-9469
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03120447 OH Primary

Addresses

Primary practice location

8451 Colerain Ave
Cincinnati, OH 45239-3926

Mailing address

8451 Colerain Ave
Cincinnati, OH 45239-3926
Phone (513) 245-9467

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

State licenses

LicenseStateTypeSpecialty
03120447OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1225630684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452393926",
            "telephone_number": "513-245-9467",
            "fax_number": "513-245-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452393926",
            "telephone_number": "513-245-9467",
            "fax_number": "513-245-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK-BALDAUF",
        "first_name": "IRIS",
        "middle_name": "MATILDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03120447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.