Active NPI
Nicholas Marquis Baxter
- Pharmacist
- Daytona Beach, FL
National Provider Identifier
1508477977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61250
- Practice address
- 1425 Dunn Ave
Daytona Beach, FL 32114-1439 - Phone
- (386) 323-9808
- NPI assigned
- Aug 11, 2020
- Sex
- Male
- Sole proprietor
- No
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 | PS61250 | FL | Primary |
Addresses
Primary practice location
1425 Dunn Ave
Daytona Beach, FL 32114-1439
Mailing address
1302 River St
Palatka, FL 32177-5042
Other practice location 1
1302 River St
Palatka, FL 32177-5042
Phone (386) 328-0558
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS61250 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Orange Park, FL
- NPI 1912001991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1508477977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 RIVER ST",
"city": "PALATKA",
"state": "FL",
"postal_code": "321775042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141439",
"telephone_number": "386-323-9808"
}
],
"practiceLocations": [
{
"address_1": "1302 River St",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321775042",
"country_code": "US",
"telephone_number": "386-328-0558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAXTER",
"first_name": "NICHOLAS",
"middle_name": "MARQUIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-11",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.