Active NPI
Patricia Baffoe
- Pharmacist
- Tyler, TX
National Provider Identifier
1316415110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59862
- Practice address
- 450 Sse Loop 323
Tyler, TX 75702-8646 - Phone
- (774) 208-4038
- NPI assigned
- Nov 9, 2018
- Last updated
- Nov 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59862 | TX | Primary |
Addresses
Primary practice location
450 Sse Loop 323
Tyler, TX 75702-8646
Mailing address
8414 Trickham BND
Fort Worth, TX 76131-1168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59862 | Other | TX | REGISTERED PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59862 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1316415110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8414 TRICKHAM BND",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761311168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SSE LOOP 323",
"city": "TYLER",
"state": "TX",
"postal_code": "757028646",
"telephone_number": "774-208-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAFFOE",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST",
"identifier": "59862",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.