Active NPI
Jason Baechle, PHARMD
- Pharmacist
- O'Fallon, MO
National Provider Identifier
1598048738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2009020979
- Practice address
- 7422 Highway N
O Fallon, MO 63368-7013 - Phone
- (636) 625-5012
- Fax
- (636) 625-5015
- NPI assigned
- Sep 23, 2011
- Last updated
- Dec 16, 2019
- 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 | 2009020979 | MO | Primary |
Addresses
Primary practice location
7422 Highway N
O Fallon, MO 63368-7013
Mailing address
7422 Highway N
O Fallon, MO 63368-7013
Phone (636) 625-5012
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009020979 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1598048738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7422 HIGHWAY N",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687013",
"telephone_number": "636-625-5012",
"fax_number": "636-625-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7422 HIGHWAY N",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687013",
"telephone_number": "636-625-5012",
"fax_number": "636-625-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAECHLE",
"first_name": "JASON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009020979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
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- Back Pain Center LLC
- Back Together Chiropractic, LLC
- Jeanine M Badwan, PHARMD
- Kristin D Bagby, MS
- Victor Beau Bailey, DO
- Balanced Health Center, LLC
- Alison Juliete Ball, D.O.
- Alissa Ballard, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.