Individual provider Active NPI

Amy Baumbach Bailas, RPH

  • Pharmacist
  • Easton, CT
National Provider Identifier
1750977260
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07281 Issued in CT
Practice address
38 Marsh Rd
Easton, CT 06612-1927
Phone
(203) 615-8678
Fax
(646) 441-4683
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07281 CT Primary

Addresses

Primary practice location

38 Marsh Rd
Easton, CT 06612-1927

Mailing address

38 Marsh Rd
Easton, CT 06612-1927
Phone (203) 615-8678

Other names 1

  • Ms. Amy Jo Baumbach Former name

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
07281CTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1750977260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MARSH RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121927",
            "telephone_number": "203-615-8678",
            "fax_number": "646-441-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MARSH RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121927",
            "telephone_number": "203-615-8678",
            "fax_number": "646-441-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILAS",
        "first_name": "AMY",
        "middle_name": "BAUMBACH",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "07281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BAUMBACH",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.