MR. DOUGLAS E. BAER SR. (NPI# 1710159041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710159041 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS E. BAER SR. |
| Credential | RPH |
| Practice Address |
1808 N Edgewood St Flagstaff AZ 86004-8711 |
| Practice Telephone | 9285271425 |
| Mailing Telephone | 9285271425 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH 28508 | CA | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
S05652 | AZ | Pharmacy Service Providers |
| Street Address |
1808 N EDGEWOOD ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356681936 | Marilyn Ritchey | Pharmacist | 3100 S Walkup Dr, Flagstaff, AZ 86005-8978 | 2013-02-19 |
| 1821342700 | Kimberly Gibson | Pharmacist | 1300 W University Ave Ste 200, Flagstaff, AZ 86001-7228 | 2012-10-31 |
| 1336117134 | Mary Louisa Brubaker | Pharmacist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425000 | David M Hoehn | Pharmacist | 3413 W Donatello Dr, Phoenix, AZ 85086-2290 | 2020-07-24 |
| 1558901793 | Crystal Kaurin | Pharmacist | 21503 N 71st Dr, Glendale, AZ 85308-9546 | 2020-01-15 |
| 1912416975 | Jenna Pakala | Pharmacist | 6250 E Grant Rd Apt 388, Tucson, AZ 85712-5811 | 2017-09-21 |
| 1972998771 | Jordan Cottam | Pharmacist | 1515 W Aloe Vera Dr, Phoenix, AZ 85085-9032 | 2015-03-30 |
| 1528470606 | Govindarajulu Krishnaswamy | Pharmacist | 1845 E. Baseline Road, Gilbert, AZ 85234 | 2014-05-23 |
| 1821422395 | Donna Marie Faber | Pharmacist | 650 E Indian School Rd # 119, Phoenix, AZ 85012-1839 | 2013-09-02 |
| 1629416938 | Larry D Sanders | Pharmacist | 3076 Tom Tom Dr, Lake Havasu City, AZ 86406-8630 | 2013-06-08 |
| 1922346808 | Lindsay Sampson | Pharmacist | 1 Mile North On Navajo Rt 16, Inscription House Health Center, Shonto, AZ 86054-7397 | 2013-01-28 |
| 1710223979 | Long Thien Pham | Pharmacist | Hwy 191 Hospital Turnoff, Chinle, AZ 86503 | 2012-12-17 |
| 1679826325 | Anastasia Shields | Pharmacist | 2141-1 Dine Drive, Fort Defiance, AZ 86504-0097 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
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| 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.