Kevin Baumgartner, PHARMD. – Pharmacist in Ogden, UT

Key facts

NPI: 1457743841
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 5019001 (UT)
Practice address: 2562 Monroe Blvd
Ogden, UT 84401-2514
Phone: (801) 399-1151
Fax: (801) 399-1154
NPI assigned: Feb 23, 2015
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

F Craig Hazen Inc Community/Retail Pharmacy · Ogden, UT · NPI 1598766545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
5019001	UT	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
F Craig Hazen Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	5019001	UT	Yes

Addresses

Primary practice location

2562 Monroe Blvd
Ogden, UT 84401-2514

Mailing address

2562 Monroe Blvd
Ogden, UT 84401-2514
Phone (801) 399-1151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2015.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1457743841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 MONROE BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012514",
            "telephone_number": "801-399-1151",
            "fax_number": "801-399-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 MONROE BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012514",
            "telephone_number": "801-399-1151",
            "fax_number": "801-399-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5019001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

All providers in Ogden, UT · Pharmacist in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.