Ezekiel Montraville Baker, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

33488 Issued in TN

Practice address

1410 Donelson Pike Ste B6
Nashville, TN 37217-2952

Phone

(615) 866-6292

Fax

(615) 866-6293

NPI assigned

Jul 25, 2007

Last updated

Aug 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced RX Pharmacy of Tennessee, LLC

  dba Advanced Rx Pharmacy 060

  • Community/Retail Pharmacy
  • Nashville, TN
  • NPI 1972991826
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1336339563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 HEIMAN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082407",
            "telephone_number": "256-453-4908",
            "fax_number": "615-866-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 DONELSON PIKE STE B6",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172952",
            "telephone_number": "615-866-6292",
            "fax_number": "615-866-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "EZEKIEL",
        "middle_name": "MONTRAVILLE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "021469",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23922",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "023693",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302044430",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "016117",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Ray Baker
• Courtney Enright Baker, MD
• Deborah Dianne Baker, PA-C
• Dereldia Baker, FNP
• Emily Ruth Baker, MD
• Gene Baker, DDS
• Harrison L. Baker
• Jack R Baker, MD
• James Haywood Baker, M.D.
• Jason Andrew Baker, AU.D.

• Pharmacist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.