Active NPI
Amy C Baker, PHARM.D.
- Pharmacist
- Medford, OR
National Provider Identifier
1710288782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3118
- Practice address
- 11 Myrtle St
Medford, OR 97504-7337 - Phone
- (541) 200-6859
- Fax
- (541) 842-7637
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0014019 | OR | |
| Pharmacist | 183500000X | RPH-0014019 | OR | |
| Pharmacist | 183500000X | RP00007803 | NM | |
| Pharmacist | 183500000X | PH60229480 | WA | |
| Pharmacist | 183500000X | PH-3118 | HI | Primary |
Addresses
Primary practice location
11 Myrtle St
Medford, OR 97504-7337
Mailing address
449 Park Ridge PL
Ashland, OR 97520-1695
Phone (505) 400-3122
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-3118 | HI | MD | Pharmacist |
| RP00007803 | NM | MD | Pharmacist |
| RPH-0014019 | OR | MD | Pharmacist |
| PH60229480 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1710288782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 PARK RIDGE PL",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201695",
"telephone_number": "505-400-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MYRTLE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047337",
"telephone_number": "541-200-6859",
"fax_number": "541-842-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "AMY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0014019",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014019",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007803",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60229480",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.