Organization Active NPI

Baker Pharmacy Inc.

  • Community/Retail Pharmacy
  • Sussex, NJ
National Provider Identifier
1730102732
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAKER PHARMACY INC.
Practice address
38-42 Main St
Sussex, NJ 07461-2331
Phone
(973) 875-4141
Fax
(973) 875-0529
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Sreenivas Bhat
Title
President
Phone
(973) 875-4141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

38-42 Main St
Sussex, NJ 07461-2331

Mailing address

38-42 Main St
Sussex, NJ 07461-2331
Phone (973) 875-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200507002165 NJ DME Supplier - Pharmacy 6608207642 Practice locations: Sussex, NJ
O20200929003165 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6608207642 Practice locations: Sussex, NJ

National Provider Directory

National Provider Directory
Tax ID family
Baker Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

38-42 Main St
Sussex, NJ 07461
Phone (973) 875-4141

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1730102732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38-42 MAIN ST",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612331",
            "telephone_number": "973-875-4141",
            "fax_number": "973-875-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38-42 MAIN ST",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612331",
            "telephone_number": "973-875-4141",
            "fax_number": "973-875-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "SREENIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-875-4141"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.