Active NPI
Baker's Pharmacy of Jamestown, Inc
- Pharmacy
- Jamestown, RI
National Provider Identifier
1306938519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHA00040
- Legal business name
- BAKER'S PHARMACY OF JAMESTOWN, INC
- Practice address
- 53 Narragansett Ave
Jamestown, RI 02835-1100 - Phone
- (401) 423-2800
- Fax
- (401) 423-1560
- NPI assigned
- Sep 28, 2006
- Last updated
- Sep 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Edward Baker, BS
- Title
- President ,Pharmacist
- Phone
- (401) 423-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHA00040 | RI | Primary |
Addresses
Primary practice location
53 Narragansett Ave
Jamestown, RI 02835-1100
Mailing address
53 Narragansett Ave
Jamestown, RI 02835-1100
Phone (401) 423-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9010040 | Medicaid | RI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1306938519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 NARRAGANSETT AVE",
"city": "JAMESTOWN",
"state": "RI",
"postal_code": "028351100",
"telephone_number": "401-423-2800",
"fax_number": "401-423-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 NARRAGANSETT AVE",
"city": "JAMESTOWN",
"state": "RI",
"postal_code": "028351100",
"telephone_number": "401-423-2800",
"fax_number": "401-423-1560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKER'S PHARMACY OF JAMESTOWN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT ,PHARMACIST",
"authorized_official_telephone_number": "401-423-2800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "RI",
"license": "PHA00040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9010040",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.