Active NPI
Theodore Cole Baity
- Pharmacy Technician
- Greenwood, IN
National Provider Identifier
1629812011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 67036483A
- Practice address
- 1290 N State Road 135
Greenwood, IN 46142-1003 - Phone
- (317) 709-8666
- NPI assigned
- Jun 21, 2024
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 67036483A | IN | Primary |
Addresses
Primary practice location
1290 N State Road 135
Greenwood, IN 46142-1003
Mailing address
8416 Lismore East Dr Apt C
Indianapolis, IN 46227-9323
Phone (317) 709-8666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67036483A | IN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1629812011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8416 LISMORE EAST DR APT C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462279323",
"telephone_number": "317-709-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 N STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421003",
"telephone_number": "317-709-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAITY",
"first_name": "THEODORE",
"middle_name": "COLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IN",
"license": "67036483A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.