Kimberly Ann Baughman, RPH – Pharmacist

Key facts

NPI: 1821153909
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 11028 (OK)
Practice address: 102 Lawson Blvd
Clayton, OK 74536-0517
Phone: (918) 569-4884
Fax: (918) 569-4660
NPI assigned: Dec 27, 2006
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: Registered Pharmacist

State licenses

License	State	Type	Specialty
11028	OK	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	11028	OK	Yes

Addresses

Primary practice location

102 Lawson Blvd
Clayton, OK 74536-0517

Mailing address

PO Box 132
Talihina, OK 74571-0132
Phone (918) 569-4884

Other identifiers

Identifier	Type	State	Issuer
11028	Other	OK	OK STATE LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821153909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745710132",
            "telephone_number": "918-569-4884",
            "fax_number": "918-569-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LAWSON BLVD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360517",
            "telephone_number": "918-569-4884",
            "fax_number": "918-569-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE LICENSE NUMBER",
            "identifier": "11028",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, OK

All providers in Clayton, OK · Pharmacist in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.

Verify at the official NPI Registry.