Individual provider Active NPI

Anastasia Marie Baide, RPH

  • Pharmacist
  • Sedro Woolley, WA
National Provider Identifier
1669962692
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60781620 Issued in WA
Practice address
851 Moore St
Sedro Woolley, WA 98284-1238
Phone
(360) 856-2153
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60781620 WA Primary

Addresses

Primary practice location

851 Moore St
Sedro Woolley, WA 98284-1238

Mailing address

14027 Lake City Way NE Apt E303
Seattle, WA 98125-3859
Phone (406) 491-5085

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH60781620WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1669962692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14027 LAKE CITY WAY NE APT E303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253859",
            "telephone_number": "406-491-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MOORE ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841238",
            "telephone_number": "360-856-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIDE",
        "first_name": "ANASTASIA",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60781620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.