Individual provider Active NPI

Miguel Baron, PHARMACIST

  • Pharmacist
  • New York, NY
National Provider Identifier
1508049347
Registry record updated Dec 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043475 Issued in NY
Practice address
188 Dyckman St
New York, NY 10040-1004
Phone
(212) 567-1282
NPI assigned
Dec 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043475 NY Primary

Addresses

Primary practice location

188 Dyckman St
New York, NY 10040-1004

Mailing address

440 N Broadway Apt 19
Yonkers
Yonkers, NY 10701-1939
Phone (914) 965-9362

Other identifiers 1

IdentifierTypeStateIssuer
02169398MedicaidNY

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

LicenseStateTypeSpecialty
043475NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
102 Center Care Pharmacy Inc Current Accepting new patients
Baron Pharmacy, Inc. Current Accepting new patients
Guardiola Pharmacy Inc Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197763200000",
    "number": "1508049347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BROADWAY APT 19",
            "address_2": "YONKERS",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011939",
            "telephone_number": "914-965-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 DYCKMAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401004",
            "telephone_number": "212-567-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "MIGUEL",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02169398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2007; 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.