Active NPI
Baker Pharmacy Inc.
- Community/Retail Pharmacy
- Sussex, NJ
National Provider Identifier
1730102732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sussex, NJ
- NPI 1760294938
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.
-
- Pharmacist
- Sussex, NJ
- NPI 1184334740
-
- Pharmacist
- Sussex, NJ
- NPI 1881917631
-
- Pharmacist
- Sussex, NJ
- NPI 1962677377
-
- Pharmacist
- Sussex, NJ
- NPI 1679896062
-
- Pharmacist
- Sussex, NJ
- NPI 1972827855
-
- Pharmacist
- Sussex, NJ
- NPI 1801169933
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.