Active NPI
Kimberly Ann Baughman, RPH
- Pharmacist
- Clayton, OK
National Provider Identifier
1821153909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11028
- Practice address
- 102 Lawson Blvd
Clayton, OK 74536-0517 - Phone
- (918) 569-4884
- Fax
- (918) 569-4660
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11028 | OK | Primary |
Addresses
Primary practice location
102 Lawson Blvd
Clayton, OK 74536-0517
Mailing address
PO Box 132
Talihina, OK 74571-0132
Phone (918) 569-4884
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 |
|---|---|---|---|
| 11028 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, OK
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.