Baker Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Cushing, OK
NPI 1245387307 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1245387307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 82059 (OK)
- Legal business name
- BAKER PHARMACY INC
- Practice address
- 1022 E Cherry St
Cushing, OK 74023-4102 - Phone
- (918) 225-2200
- Fax
- (918) 225-2201
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Doug Baker
- Title
- Owner President
- Phone
- (918) 225-2200
Practitioners 4
-
Douglas Vance Baker, DPH
-
Susan Linnea Hunter, PHARM.D.
-
John Jay Lemley I, RPH
-
Amy Nichole West, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2183782 | Baker Pharmacy, Inc | Certificate of waiver | May 10, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baker Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Cane… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098960 | OK | DME Supplier - Pharmacy |
4789703562 | Practice locations: Cushing, OK |
| O20201214000391 | OK | Part B Supplier - Pharmacy | 4789703562 | Practice locations: Cushing, OK |
National Provider Directory
Locations
1022 E Cherry St
Cushing, OK 74023
Phone (918) 225-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 82059 | OK | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
1022 E Cherry St
Cushing, OK 74023-4102
Mailing address
1022 E Cherry St
Cushing, OK 74023-4102
Phone (918) 225-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100235530A | Medicaid | OK | |
| 2072717 | Other | PK |
Other names
- BAKER PHARMACY INC
Other providers in Cushing, OK
- Alpha Care CCT, LLC
- Alternative Opportunities
- Alternative Opportunities, Inc.
- Alternative Opportunities, Inc.
- Sarah Ann Bacon
- Douglas Vance Baker
- Vance Barber
- Jonathan Barras
- Brandy Baugh
- Jenniffer Blankinship
All providers in Cushing, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.