Active NPI
Diane Louise Baldwin, R.PH.
- Pharmacist
- Columbia, MO
National Provider Identifier
1245515329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044960
- Practice address
- 222 E Broadway
Columbia, MO 65203-4258 - Phone
- (573) 874-3562
- Fax
- (573) 874-2891
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044960 | MO | Primary |
| Pharmacist | 183500000X | 5302023040 | MI | |
| Pharmacist | 183500000X | 26013926A | IN | |
| Pharmacist | 183500000X | 19946 | IA | |
| Pharmacist | 183500000X | 015300 | KY | |
| Pharmacist | 183500000X | 051.290910 | IL | |
| Pharmacist | 183500000X | 1-15151 | KS |
Addresses
Primary practice location
222 E Broadway
Columbia, MO 65203-4258
Mailing address
222 E Broadway
Columbia, MO 65203-4258
Phone (573) 874-3562
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19946 | IA | MD | Pharmacist |
| 051.290910 | IL | MD | Pharmacist |
| 26013926A | IN | MD | Pharmacist |
| 1-15151 | KS | MD | Pharmacist |
| 015300 | KY | MD | Pharmacist |
| 5302023040 | MI | MD | Pharmacist |
| 044960 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Columbia, MO
- NPI 1952317380
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1245515329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034258",
"telephone_number": "573-874-3562",
"fax_number": "573-874-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034258",
"telephone_number": "573-874-3562",
"fax_number": "573-874-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "DIANE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044960",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302023040",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013926A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19946",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015300",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290910",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.