Active NPI
Marian Baseluse
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1841119864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75509
- Practice address
- 4500 N Tarrant Pkwy
Fort Worth, TX 76244-4924 - Phone
- (817) 485-2547
- NPI assigned
- Jul 13, 2026
- Last updated
- Jul 13, 2026
- 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 | 75509 | TX | Primary |
Addresses
Primary practice location
4500 N Tarrant Pkwy
Fort Worth, TX 76244-4924
Mailing address
4500 N Tarrant Pkwy
Fort Worth, TX 76244-4924
Phone (817) 485-2547
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841119864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 N TARRANT PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444924",
"telephone_number": "817-485-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 N TARRANT PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444924",
"telephone_number": "817-485-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASELUSE",
"first_name": "MARIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "75509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.