Deidra Baird, PHARMD
Individual provider Active NPI Pharmacist · Prattville, AL
NPI 1497196638 · NPPES record last updated Jul 16, 2013
Key facts
- NPI
- 1497196638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17073 (AL)
- Practice address
- 703 S Memorial Dr
Prattville, AL 36067-5711 - Phone
- (334) 361-2261
- NPI assigned
- Jul 16, 2013
- 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 |
|---|---|---|---|
| 17073 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17073 | AL | Yes |
Addresses
Primary practice location
703 S Memorial Dr
Prattville, AL 36067-5711
Mailing address
703 S Memorial Dr
Prattville, AL 36067-5711
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2013. 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.