Suhad Y Baste, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.291363 Issued in IL

Practice address

800 Broadview Village SQ
T-2081
Broadview, IL 60155-4887

Phone

(708) 731-5556

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2011.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1912280967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BROADVIEW VILLAGE SQ",
            "address_2": "T-2081",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554887",
            "telephone_number": "708-731-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROADVIEW VILLAGE SQ",
            "address_2": "T-2081",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554887",
            "telephone_number": "708-731-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTE",
        "first_name": "SUHAD",
        "middle_name": "Y",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.291363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Broadview, IL
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.