Active NPI
Chardonnae Terell Baity, RPH
- Pharmacist
- Sarasota, FL
National Provider Identifier
1366150989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65118
- Practice address
- 3724 84TH Avenue Cir E
Sarasota, FL 34243-7800 - Phone
- (941) 360-6707
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | PS65118 | FL | Primary |
Addresses
Primary practice location
3724 84TH Avenue Cir E
Sarasota, FL 34243-7800
Mailing address
3724 84TH Avenue Cir E
Sarasota, FL 34243-7800
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 |
|---|---|---|---|
| PS65118 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1366150989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 84TH AVENUE CIR E",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342437800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 84TH AVENUE CIR E",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342437800",
"telephone_number": "941-360-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAITY",
"first_name": "CHARDONNAE",
"middle_name": "TERELL",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.