Individual provider Active NPI

Betty W Baker, R.PH.,MBA/MHA

  • Pharmacist
  • Kailua Kona, HI
National Provider Identifier
1962748533
Registry record updated Dec 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-2357 Issued in HI
Practice address
74-5455 Makala Blvd
Kailua Kona, HI 96740-2727
Phone
(808) 334-4021
NPI assigned
Dec 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-2357 HI Primary
Pharmacist 183500000X RPH013277 GA
Pharmacist 183500000X 38475 TX

Addresses

Primary practice location

74-5455 Makala Blvd
Kailua Kona, HI 96740-2727

Mailing address

78-7000 Kewalo St
Kailua Kona, HI 96740-2833
Phone (808) 324-0234

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH013277GAMDPharmacist
PH-2357HIMDPharmacist
38475TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356739200000",
    "number": "1962748533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-7000 KEWALO ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402833",
            "telephone_number": "808-324-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5455 MAKALA BLVD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402727",
            "telephone_number": "808-334-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BETTY",
        "middle_name": "W",
        "credential": "R.PH.,MBA/MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-29",
        "last_updated": "2012-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-2357",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH013277",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; 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.