MEDICARE: DR. JOSHUA REID BAKER PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	052544	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	052544	OTHER	NY	NY-LICENSE NUMBER

General Provider Information

NPI Number	:	1669628715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA REID BAKER PHARM. D.

Provider Business Mailing Address
First Line	:	785 COHWY 106
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010
Country	:	US
Telephone Number	:	518-229-4802
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 GUY PARK AVE
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-1060
Country	:	US
Telephone Number	:	518-841-7439
Fax Number	:	518-841-7439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	11/25/2025

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