Individual provider Active NPI

Martin Bruce Baxter, RPH

  • Pharmacist
  • Laurel, MD
National Provider Identifier
1972743755
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202007452 Issued in VA
Practice address
316 Talbott Ave
Suite a
Laurel, MD 20707-4334
Phone
(301) 617-0555
NPI assigned
Mar 6, 2009
Last updated
Mar 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100000411 DC
Pharmacist 183500000X 14610 NC
Pharmacist 183500000X 0202007452 VA Primary
Pharmacist 183500000X 18090 MD

Addresses

Primary practice location

316 Talbott Ave
Suite a
Laurel, MD 20707-4334

Mailing address

316 Talbott Ave
Suite a
Laurel, MD 20707-4334
Phone (301) 617-0555

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH100000411DCMDPharmacist
18090MDMDPharmacist
14610NCMDPharmacist
0202007452VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Pharmacy Associates, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1972743755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 TALBOTT AVE",
            "address_2": "SUITE A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074334",
            "telephone_number": "301-617-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 TALBOTT AVE",
            "address_2": "SUITE A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074334",
            "telephone_number": "301-617-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "MARTIN",
        "middle_name": "BRUCE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000411",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14610",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202007452",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.