Samuel West Baynes III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60766529 Issued in WA

Practice address

17255 NW Cornell Rd
Beaverton, OR 97006-3297

Phone

(503) 207-7632

Fax

(503) 207-7628

NPI assigned

Sep 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609394998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17255 NW CORNELL RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063297",
            "telephone_number": "503-207-7632",
            "fax_number": "503-207-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17255 NW CORNELL RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063297",
            "telephone_number": "503-207-7632",
            "fax_number": "503-207-7628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7809 NE Vancouver Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626643",
            "country_code": "US",
            "telephone_number": "360-253-4038",
            "fax_number": "360-553-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYNES",
        "first_name": "SAMUEL",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60766529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bauer
• Rick Baumgartle, MS LPC CADCII
• Jaspreet Bawa
• Amanda Elaine Desmarais Bawcom
• Julie Baxter
• Emilia Christina Bazan-Grow, DNP,FNP
• Kristin A Bazor, RDH
• Tracey Anne Beagle
• Heidi Beale
• Jeffery Beale, LMT

• Pharmacist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.