Active NPI
Baldwin Cortez, PHARMD
- Pharmacist
- Salem, OR
National Provider Identifier
1871257162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0018684
- Practice address
- 255 Lancaster Dr NE
Salem, OR 97301-5155 - Phone
- (503) 576-8340
- Fax
- (503) 364-0775
- NPI assigned
- Oct 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61190496 | WA | |
| Pharmacist | 183500000X | RPH-0018684 | OR | Primary |
Addresses
Primary practice location
255 Lancaster Dr NE
Salem, OR 97301-5155
Mailing address
255 Lancaster Dr NE
Salem, OR 97301-5155
Phone (503) 576-8340
Other practice location 1
16300 SE Evelyn St
Clackamas, OR 97015-9515
Phone (503) 305-9700
Other practice location 2
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bcortez37711@yvfwc.direct-ci.com | Direct |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0018684 | OR | MD | Pharmacist |
| PH61190496 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1871257162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973015155",
"telephone_number": "503-576-8340",
"fax_number": "503-364-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973015155",
"telephone_number": "503-576-8340",
"fax_number": "503-364-0775"
}
],
"practiceLocations": [
{
"address_1": "16300 SE Evelyn St",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970159515",
"country_code": "US",
"telephone_number": "503-305-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-946-4611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTEZ",
"first_name": "BALDWIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-24",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61190496",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0018684",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bcortez37711@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "255 Lancaster Dr NE",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973015155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.