Active NPI
Robyn De an Baumgard
- Pharmacist
- Norfolk, NE
National Provider Identifier
1851683486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14945
- Practice address
- 1300 W Norfolk Ave
Norfolk, NE 68701-4834 - Phone
- (402) 371-2340
- Fax
- (402) 371-9199
- NPI assigned
- May 16, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5239 | SD | |
| Pharmacist | 183500000X | 14945 | NE | Primary |
Addresses
Primary practice location
1300 W Norfolk Ave
Norfolk, NE 68701-4834
Mailing address
1300 W Norfolk Ave
Norfolk, NE 68701-4834
Phone (402) 371-2340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14945 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1300 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-2340
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1851683486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014834",
"telephone_number": "402-371-2340",
"fax_number": "402-371-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014834",
"telephone_number": "402-371-2340",
"fax_number": "402-371-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARD",
"first_name": "ROBYN",
"middle_name": "DE AN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5239",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.