Healthcare Provider Details

I. General information

NPI: 1447696109
Provider Name (Legal Business Name): HOPE BAKER PHARM. D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 S HIGHWAY 27
SOMERSET KY
42501-1779
US

IV. Provider business mailing address

181 S HIGHWAY 27
SOMERSET KY
42501-1779
US

V. Phone/Fax

Practice location:
  • Phone: 606-451-4341
  • Fax:
Mailing address:
  • Phone: 606-451-4341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberIO9112
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number016641
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number016641
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: