AUSTIN BAEK (NPI# 1205299294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205299294 |
| Entity Type | Individual |
| Full Name | AUSTIN BAEK |
| Practice Address |
4080 Douglas Blvd Granite Bay CA 95746-5900 |
| Mailing Address |
8282 Calvine Rd Unit 3075 Sacramento CA 95828-9314 |
| Practice Telephone | 9163803262 |
| Mailing Telephone | 2132547452 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71702 | CA | Pharmacy Service Providers |
| Street Address |
4080 DOUGLAS BLVD |
| City | GRANITE BAY |
| State | CA |
| Zip Code | 95746-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578854592 | Meera Shah | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746 | 2011-04-25 |
| 1669837068 | Sanh Duong | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2015-12-30 |
| 1770991200 | Kenneth Pham | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2014-07-28 |
| 1558779215 | Hoang Vu | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2014-07-25 |
| 1013259118 | Asma Ishak-mahdi | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2013-03-27 |
| 1326393588 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2012-07-13 |
| 1205103926 | Thanh Nguyen | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901672 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5525 Stallman Cavitt Road, Granite Bay, CA 95746 | 2017-09-12 |
| 1255787719 | Gurveen Atwal | Counselor | 511 Carthage Court, Granite Bay, CA 95746 | 2016-05-13 |
| 1407219181 | Sarah Choi Allen | General Acute Care Hospital | 8941 Wexford Circle, Granite Bay, CA 95746 | 2016-03-31 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1467726968 | Fareeha Bushra Sattar | Family Medicine | 9486 Swan Lake Dr, Granite Bay, CA 95746 | 2012-02-29 |
| 1013151042 | Julia Margaret Black | Marriage & Family Therapist | 6049 Douglas Blvd., Suite 19, Granite Bay, CA 95746 | 2009-04-21 |
| 1366622532 | Marina V Milstein | Dentist | 7095 Douglas Blvd, Suite A, Granite Bay, CA 95746 | 2007-11-05 |
| 1154527398 | Sandra Kay Baker | Social Worker | 9123 Oakhollow Ct, Granite Bay, CA 95746 | 2007-06-25 |
| 1497965107 | Barry Hoffman | Dentist | 9035 Camino Del Avion, Granite Bay, CA 95746 | 2007-05-23 |
| 1740401504 | Ken H. Ngo | Dentist | 2001 Zinfandel Dr. Suite B-1, Rancho Cordova, CA 95746 | 2007-05-01 |
| Find all providers in zip 95746 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285087155 | Derek Luu | Pharmacist | 5430 Erickson Dr, Granite Bay, CA 95746-6304 | 2016-07-15 |
| 1871904631 | Milka Miksic | Pharmacist | 6845 Douglas Blvd, Granite Bay, CA 95746-6258 | 2014-05-14 |
| 1578854592 | Meera Shah | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746 | 2011-04-25 |
| 1033104872 | Christine Vevecka Lee | Pharmacist | 6025 Via Madrid, Granite Bay, CA 95746-5802 | 2005-09-19 |
| 1770194409 | Winnie G Ho | Pharmacist | 4051 Douglas Blvd, Granite Bay, CA 95746-5901 | 2020-08-15 |
| 1194389742 | Ha Nguyen | Pharmacist | 8455 Auburn Folsom Rd, Granite Bay, CA 95746-9324 | 2019-04-30 |
| 1033685276 | Michel Gellad | Pharmacist | 111 Hamilton Ct, Granite Bay, CA 95746-6474 | 2018-10-15 |
| 1669837068 | Sanh Duong | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746-5900 | 2015-12-30 |
| 1346613288 | Kyle Shults | Pharmacist | 8455 Auburn Folsom Rd, Granite Bay, CA 95746-9324 | 2015-10-31 |
| 1114321841 | Paymaneh Pakyari | Pharmacist | 6845 Douglas Blvd, Granite Bay, CA 95746-6258 | 2014-10-08 |
| Find all providers in GRANITE BAY | ||||
| City | GRANITE BAY |
| Zip Code | 95746 |
Please comment or provide details below to improve the information on AUSTIN BAEK.
| 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.