Individual provider Active NPI

Sharon R Baby, PHARMD

  • Pharmacist
  • Riverview, FL
National Provider Identifier
1316686041
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS64034 Issued in FL
Practice address
10624 Gibsonton Dr
Riverview, FL 33578-5430
Phone
(813) 671-3389
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS64034 FL Primary

Addresses

Primary practice location

10624 Gibsonton Dr
Riverview, FL 33578-5430

Mailing address

10624 Gibsonton Dr
Riverview, FL 33578-5430

Other identifiers 1

IdentifierTypeStateIssuer
183500000X-PHARMACISOtherFLWALGREENS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Riverview

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS64034FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 5, 2022 Accepting new patients
Walgreen Co PastSince Jun 5, 2022 Accepting new patients

Locations

10624 Gibsonton Dr
Riverview, FL 33578
Phone (813) 671-3389

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1316686041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785430",
            "telephone_number": "813-671-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABY",
        "first_name": "SHARON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS64034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALGREENS",
            "identifier": "183500000X-PHARMACIS",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Riverview",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "address_1": "10624 Gibsonton Dr",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335785430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.