Jean Baker, PHARM.D
Individual provider Active NPI Pharmacist · Madison, MS
NPI 1801149554 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1801149554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010332 (MS)
- Practice address
- 118 Weisenberger Rd
Suite 400
Madison, MS 39110-5012 - Phone
- (205) 259-9842
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010332 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010332 | MS | Yes |
Addresses
Primary practice location
118 Weisenberger Rd
Suite 400
Madison, MS 39110-5012
Mailing address
118 Weisenberger Rd
Suite 400
Madison, MS 39110-5012
Phone (205) 259-9842
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.