Active NPI
Timothy Lee Baker, PHARMACIST
- Nutrition Support Pharmacist
- Huntington, WV
National Provider Identifier
1376922567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- RP0007348
- Practice address
- 5636 US Route 60
Huntington, WV 25705-2148 - Phone
- (304) 736-2098
- NPI assigned
- May 21, 2015
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | RP0007348 | WV | Primary |
Addresses
Primary practice location
5636 US Route 60
Huntington, WV 25705-2148
Mailing address
6136 Skyline Dr
Ashland, KY 41102-8208
Phone (606) 920-9933
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 |
|---|---|---|---|
| RP0007348 | WV | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1376922567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6136 SKYLINE DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411028208",
"telephone_number": "606-920-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5636 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052148",
"telephone_number": "304-736-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "TIMOTHY",
"middle_name": "LEE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-21",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "WV",
"license": "RP0007348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.