Active NPI
Douglas E. Baer Sr., RPH
- Pharmacotherapy Pharmacist
- Flagstaff, AZ
National Provider Identifier
1710159041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- S05652
- Practice address
- 1808 N Edgewood St
Flagstaff, AZ 86004-8711 - Phone
- (928) 527-1425
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 28508 | CA | |
| Pharmacotherapy Pharmacist | 1835P1200X | S05652 | AZ | Primary |
Addresses
Primary practice location
1808 N Edgewood St
Flagstaff, AZ 86004-8711
Mailing address
1808 N Edgewood St
Flagstaff, AZ 86004-8711
Phone (928) 527-1425
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 28508 | CA | MD | Pharmacist |
| S05652 | AZ | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1710159041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 N EDGEWOOD ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860048711",
"telephone_number": "928-527-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 N EDGEWOOD ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860048711",
"telephone_number": "928-527-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "DOUGLAS",
"middle_name": "E.",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 28508",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AZ",
"license": "S05652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.