DUSTIN LUCAS BAUM


Address: 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655
Phone: 3046911779

DUSTIN LUCAS BAUM (NPI# 1124656509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124656509
Entity Type Individual
Full Name DUSTIN LUCAS BAUM
Credential PHARMD
Practice Address 1600 Medical Center Dr Ste B500
Huntington
WV 25701-3655
Mailing Address 17796 Hannan Trace Rd
Crown City
OH 45623-9015
Practice Telephone 3046911779
Practice Fax Number 3046911882
Mailing Telephone 3304472119
Enumeration Date 2020-03-31
Last Update Date 2020-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0010529 WV Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
17796 Hannan Trace Rd, Crown City, OH 456239015 3304472119

Office Location

Street Address 1600 MEDICAL CENTER DR STE B500
City HUNTINGTON
State WV
Zip Code 25701-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982664355 Steven Brown Clinical Neuropsychologist 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2006-03-28
1578102778 Megan Dene Midkiff Nurse Practitioner 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2020-01-06
1598329807 Morgan Aguirre Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2019-04-23
1548715840 Rachel B. Beirne Nurse Practitioner 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2016-08-17
1861871097 Jared Hollinger Psychiatry & Neurology 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2015-05-20
1780083519 Kelly Johnson Nurse Practitioner 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2014-08-18
1396164190 Dharampreet Singh Psychiatry & Neurology 1600 Medical Center Dr Ste B500, Huntington, WV 25701 2014-04-09
1023337961 Sajeel Rehmat Khan Neurological Surgery 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2010-05-17
1437328192 Nicolas Phan Neurological Surgery 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2008-02-27
1982652657 Jorge Ivan Lopez Psychiatry & Neurology 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2006-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607803 Sara Tonya Hicks Technician 742 4th Avenue, Huntington, WV 25701 2020-10-21
1316550791 Ethan Scott Miller Counselor 1538 Charleston Ave., Huntington, WV 25701 2020-08-26
1336752674 Brock Riley Hapney Student in an Organized Health Care Education/Training Program 1538 Charelston Avenue, Huntington, WV 25701 2020-08-26
1558972224 Ardith Ruth Bartram Technician 4045 C 8th Street Road, Huntington, WV 25701 2020-08-14
1144839614 Randall Edward Short Behavior Technician 10th Sixth Avenue West, Huntington, WV 25701 2020-07-30
1609495191 Melanie Jean Howard Pharmacist 1538 Charleston Avenue, Huntington, WV 25701 2020-04-14
1205472016 Kelly Kauffer Technician 1012 Johns Court, Huntington, WV 25701 2019-11-27
1265082648 Matt France Technician 3650 Taymor Rd, Huntington, WV 25701 2019-09-17
1538649348 Kathryn Markus Pharmacist 1500 Medical Center Drive, Huntington, WV 25701 2018-08-21
1487155636 Heather Marie Rogers Nurse Practitioner 940 4th Ave, Huntington, WV 25701 2018-02-23
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558988535 Kadie Schlie Pharmacist 2718 Guilford St, Huntington, IN 46750-9701 2020-06-25
1780163667 Charles Alex Noble Pharmacist 1540 Spring Valley Dr # 119, Huntington, WV 25704-9300 2018-08-10
1720446073 Anne Bradley Pharmacist 1540 Spring Valley Dr, Huntington, WV 25704-9300 2016-02-02
1891068243 Crystal D. Heise Pharmacist 1600 Medical Center Dr, Ste 500b, Huntington, WV 25701-3656 2012-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346640406 Angela Dawkins Pharmacist 9503 Middletown Mall, Fairmont, WV 26554-2195 2014-08-26
1336401892 Jeffrey Davis Eddy Pharmacist 2792 Keller Ln, Williamstown, WV 26187-8309 2012-06-11
1780988022 Gregg Michael Stern Pharmacist 505 Virginia Ave., Smithers, WV 25186-0577 2010-12-30
1922301035 Dwan Shasta Hamons Pharmacist 180 Red Oaks Shopping Center, Ronceverte, WV 24970 2010-12-10
1053636704 Patrick Robert Huffman Pharmacist 200 Veterans Avenue, Beckley, WV 25801 2010-04-06
1548425994 Laurie Ann Fromm Pharmacist 112 Partridge Ln, Beckley, WV 25801-3606 2008-07-25
1295341741 Lindsey Christine Judy Pharmacist 72 Whitewater Ave, Fayetteville, WV 25840-9648 2020-09-21
1700490125 Kate Forman Pharmacist 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 2020-09-02
1477162964 Robert Logan Moneypenny Pharmacist 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 2020-07-30
1174132088 Megan Ciborowski Pharmacist 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 2020-07-27
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Competitor

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City HUNTINGTON
Zip Code 25701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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