DR. AMANDA B BAKER (NPI# 1427109834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427109834 |
| Entity Type | Individual |
| Full Name | DR. AMANDA B BAKER |
| Credential | PHARMD |
| Practice Address |
600 Nuckolls Rd Bolivar TN 38008-1532 |
| Practice Telephone | 7316585207 |
| Practice Fax Number | 7316581758 |
| Mailing Telephone | 7316585207 |
| Mailing Fax Number | 7316581758 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9752 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025542 | Amanda Renee Baker | Counselor | 11325 Royal Palm Blvd, Coral Springs, FL 33065-6901 | 2020-08-25 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1447713714 | Amanda O. Baker | Occupational Therapy Assistant | 5223 Victoria St Nw, Roanoke, VA 24017-4209 | 2019-04-12 |
| 1780154591 | Amanda Brooke Baker I | Occupational Therapist | 1607 Jefferson St, Chattanooga, TN 37408-2127 | 2018-12-05 |
| 1346749264 | Amanda Baker | Registered Nurse | 3451 Grainger Pkwy, Lincoln, NE 68516-4902 | 2018-02-06 |
| 1639695893 | Amanda Baker | Nurse Practitioner | 1676 Sunset Ave # 4, Utica, NY 13502-5416 | 2017-08-19 |
| 1700300134 | Amanda Brooke Baker | Social Worker | 8441 Belair Rd Ste G4, Nottingham, MD 21236-3024 | 2017-07-27 |
| 1194257857 | Amanda Baker | Occupational Therapist | 1106 Andy Thomas Rd, Whitewright, TX 75491-5154 | 2017-03-31 |
| 1558808253 | Amanda Rachel Baker | Marriage & Family Therapist | 15195 Aspen Ln, Apt. B, Watertown, NY 13601-6618 | 2017-01-20 |
| 1811369671 | Amanda Baker | Counselor | 4950 Keller Springs Rd Ste 310, Addison, TX 75001-6349 | 2015-10-20 |
| Street Address |
600 NUCKOLLS RD |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437160082 | Nuckolls Drug Stores, Inc | Pharmacy | 600 Nuckolls Rd, Bolivar, TN 38008-2393 | 2006-08-10 |
| 1730724493 | Hudson Drug Store, LLC | Pharmacy | 600 Nuckolls Rd, Bolivar, TN 38008-1532 | 2019-11-16 |
| 1306212162 | Jason Carter | Pharmacist | 600 Nuckolls Rd, Bolivar, TN 38008-1532 | 2015-08-17 |
| 1265878557 | Freds Stores of Tennessee Inc. | Pharmacy | 600 Nuckolls Rd, Bolivar, TN 38008-1532 | 2013-05-14 |
| 1043363484 | James Kim Nuckolls | Pharmacist | 600 Nuckolls Rd, Bolivar, TN 38008-1532 | 2007-01-19 |
| 1881745297 | Freeman Hunter Baird Jr. | Pharmacist | 600 Nuckolls Rd, Bolivar, TN 38008-1532 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| 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 |
|---|---|---|---|---|
| 1861868465 | Elizabeth Ashley Willis | Pharmacist | 1355 W Market St, Bolivar, TN 38008-1715 | 2015-08-18 |
| 1083919005 | Hope Caples Parker | Pharmacist | 109 Tennessee St, Bolivar, TN 38008-1822 | 2011-01-22 |
| 1972749794 | Sonja Lynn Obryan | Pharmacist | 1885 E Thornridge Dr, Bolivar, MO 65613-1283 | 2008-12-29 |
| 1952503914 | Leigh Boston Cummings | Pharmacist | 622 W Market St Ste 200, Bolivar, TN 38008-2241 | 2007-06-01 |
| 1649367335 | Dan Mchan | Pharmacist | 103 E Broadway, Bolivar, MO 65613-1621 | 2006-10-06 |
| 1437261062 | Sno White-benson | Pharmacist | 1100 S. Springfield Suite A, Suite 1, Bolivar, MO 65613-0158 | 2006-08-31 |
| 1932175965 | Jeff Sparks | Pharmacist | 2000b S Springfield Ave, Bolivar, MO 65613-9654 | 2006-02-28 |
| 1710591193 | John R Myers II | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1912511296 | Robert Wilkins | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1568070217 | Cameron Tyler Hargrove | Pharmacist | 1604 W Market St, Bolivar, TN 38008-1536 | 2020-07-20 |
| Find all providers in BOLIVAR | ||||
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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.