Karon Dale Baxley, PD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD05716 Issued in AR

Practice address

1200 Montgomery St
Nashville, AR 71852-3645

Phone

(870) 451-3683

NPI assigned

May 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1407594021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S 4TH ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523007",
            "telephone_number": "870-451-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MONTGOMERY ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523645",
            "telephone_number": "870-451-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "KARON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD05716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "powerpharmacy@sbcglobal.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1200 Montgomery St",
            "city": "Nashville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718523645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jabar Baham
• Jessica Janay Bailey, MNSC, APRN, NP-C
• Luis F Barandiaran, M.D.
• Maria Helena Barandiaran, M.A.
• William J Barton
• Asphen Beard
• Rick A Bell
• Benson Nursing Home, Inc
• Gynder Diane Benson, FNP
• Haylee Bergquist, PHARMD

• Pharmacist in Nashville, AR
• Providers in Nashville, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.