Alexa Rae Baskin, PHARMD
Individual provider Active NPI Pharmacist · Shelbyville, KY
NPI 1487324075 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1487324075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 022366 (KY)
- Practice address
- 2188 Midland TRL
Shelbyville, KY 40065-9117 - Phone
- (502) 633-4209
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 022366 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
2188 Midland Trl
Shelbyville, KY 40065
Phone (502) 257-4346
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022366 | KY | Yes |
Addresses
Primary practice location
2188 Midland TRL
Shelbyville, KY 40065-9117
Mailing address
12800 Charles Farm Cir Apt 120
Louisville, KY 40299-2661
Phone (440) 915-6923
Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. 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.