NPIMap

Organization Active NPI

Baseline Pharmacy

  • Pharmacy
  • Phoenix, AZ
National Provider Identifier
1558619023
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
Y005528 Issued in AZ
Legal business name
BASELINE PHARMACY
Practice address
303 E Baseline Rd Ste 103
Phoenix, AZ 85042-6561
Phone
(602) 903-7228
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Vilawoe A. Boadu, PHARMDNPI 1487901963
Title
Pic
Phone
(602) 903-7228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Y005528 AZ Primary

Addresses

Primary practice location

303 E Baseline Rd Ste 103
Phoenix, AZ 85042-6561

Mailing address

303 E Baseline Rd Ste 103
Phoenix, AZ 85042-6561
Phone (602) 903-7228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1558619023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426561",
            "telephone_number": "602-903-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426561",
            "telephone_number": "602-903-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "BOADU",
        "authorized_official_first_name": "VILAWOE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "602-903-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.