Active NPI
Michael Alan Baker, RPH
- Pharmacy Technician
- Jupiter, FL
National Provider Identifier
1811092588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PS36064
- Practice address
- 3757 Military Trail
Jupiter, FL 33458 - Phone
- (561) 746-2550
- Fax
- (561) 746-6217
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PS36064 | FL | Primary |
Addresses
Primary practice location
3757 Military Trail
Jupiter, FL 33458
Mailing address
100 Via Condado Way
Palm Beach Gardens, FL 33418
Phone (561) 630-8582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1066218001 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS36064 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811092588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VIA CONDADO WAY",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33418",
"telephone_number": "561-630-8582",
"fax_number": "561-630-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3757 MILITARY TRAIL",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-746-2550",
"fax_number": "561-746-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "PS36064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1066218001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.