Active NPI
Albert Edwin Baur Jr., RPH
- Pharmacist
- Clewiston, FL
National Provider Identifier
1508400623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS12148
- Practice address
- 1005 W Sugarland Hwy
Clewiston, FL 33440-2706 - Phone
- (863) 983-8756
- Fax
- (863) 983-6398
- NPI assigned
- Oct 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS12148 | FL | Primary |
Addresses
Primary practice location
1005 W Sugarland Hwy
Clewiston, FL 33440-2706
Mailing address
13600 NE 104TH Ave
Okeechobee, FL 34972-7457
Phone (863) 697-1477
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS12148 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1508400623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13600 NE 104TH AVE",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349727457",
"telephone_number": "863-697-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W SUGARLAND HWY",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334402706",
"telephone_number": "863-983-8756",
"fax_number": "863-983-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUR",
"first_name": "ALBERT",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS12148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.