Michael Anthony Baker, PHARMD, CERT. IMM.

Primary specialty

Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X

License

P5881 Issued in ID

Practice address

800 S Industry Way Ste 240
Meridian, ID 83642-3559

Phone

(208) 884-0669

Fax

(208) 955-3291

NPI assigned

Oct 31, 2009

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• P. Roman Burk DPM PC

  dba Mountain Pharmacy

  • Community/Retail Pharmacy
  • Meridian, ID
  • NPI 1508365958
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1922334655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W IOWA AVE STE 225",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866815",
            "telephone_number": "208-855-0701",
            "fax_number": "208-268-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S INDUSTRY WAY STE 240",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423559",
            "telephone_number": "208-884-0669",
            "fax_number": "208-955-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CERT. IMM.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ID",
            "license": "P5881",
            "primary": false
        },
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "ID",
            "license": "P5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Baker
• Joshua Baker
• Kenneth James Baker, LPC
• Laura Baker, M.COUN, LPC
• Lindsay Ann Baker
• Steven Bradley Baker, D.C.
• Balance Psychological Associates, PLLC (Balance Associates, PLLC)
• Balanced Body Chiropractic LLC
• Balanced Idaho LLC
• Balanced Life Chiropractic (Evergreen Wellness Studios)

• Pharmacist in Meridian, ID
• Providers in Meridian, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.