Active NPI
Michael Baker Pharmacy, Inc.
Doing business as Baker Pharmacy
- Pharmacist
- Marshall, AR
National Provider Identifier
1609947068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- MICHAEL BAKER PHARMACY, INC.
- Doing business as
- Baker Pharmacy
- Practice address
- 101 W. Main St.
Marshall, AR 72650 - Phone
- (870) 448-3336
- Fax
- (870) 448-3335
- NPI assigned
- Nov 10, 2006
- Last updated
- Feb 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael A Backer, P.D.
- Title
- Owner, Ceo
- Phone
- (870) 448-3336
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | NU | Primary | |
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | AR20229 | AR |
Addresses
Primary practice location
101 W. Main St.
Marshall, AR 72650
Mailing address
PO Box 278
Marshall, AR 72650
Phone (870) 448-3336
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1995262 | Other | PK | |
| 139262407 | Medicaid | AR |
Other names 1
- Baker Pharmacy
National Provider Directory
National Provider DirectoryLocations
101 W Main St
Marshall, AR 72650
Phone (870) 448-3336
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.
-
- Pharmacist
- Marshall, AR
- NPI 1023693066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581638400000",
"number": "1609947068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "MARSHALL",
"state": "AR",
"postal_code": "72650",
"telephone_number": "870-448-3336",
"fax_number": "870-448-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W. MAIN ST.",
"city": "MARSHALL",
"state": "AR",
"postal_code": "72650",
"telephone_number": "870-448-3336",
"fax_number": "870-448-3335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL BAKER PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A",
"authorized_official_last_name": "BACKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "870-448-3336",
"authorized_official_credential": "P.D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR20229",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1995262",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139262407",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baker Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marshall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.