Ma Rachelle Ann Bautista

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61304137 Issued in WA

Practice address

12 E Empire Ave
Spokane, WA 99207-1706

Phone

(509) 325-0781

NPI assigned

Sep 14, 2022

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Spokane, WA
  • NPI 1558376517
  NPD
• Walgreen Co

  • Pharmacy
  • Spokane, WA
  • NPI 1588671457
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1609598937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E EMPIRE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E EMPIRE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071706",
            "telephone_number": "509-325-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992032528",
            "country_code": "US",
            "telephone_number": "509-455-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MA RACHELLE ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61304137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Baumel, DO
• Scott Baumel, DO
• Dana Liana Baumgartner, FNP
• Megan N Baumgartner
• Tyler Bauska
• Bavihealth
• Sara Bawden, DPT
• Timothy W Bax, MD
• Robert S. Baxley, M.D.
• Amanda Baxter

• Pharmacist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.