William J Baker
Individual provider Active NPI Pharmacist · West Valley City, UT
NPI 1992923932 · NPPES record last updated Mar 27, 2008
Key facts
- NPI
- 1992923932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 141774 (UT)
- Practice address
- 1152 W. 2240 South Suite E
West Valley City, UT 84119 - Phone
- (801) 485-3344
- Fax
- (801) 485-1982
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141774 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 141774 | UT | Yes |
| Nuclear Pharmacist | 1835N0905X | 141774 | UT |
Addresses
Primary practice location
1152 W. 2240 South Suite E
West Valley City, UT 84119
Mailing address
1156 E. Cutler Rd.
Salt Lake City, UT 84106
Phone (801) 485-3344
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.