GLEN BALDWIN (NPI# 1609300284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609300284 |
| Entity Type | Individual |
| Full Name | GLEN BALDWIN |
| Practice Address |
1700 Waterman St Detroit MI 48209-2022 |
| Practice Telephone | 3138429660 |
| Mailing Telephone | 3138429660 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
5302024897 | MI | Pharmacy Service Providers |
| Street Address |
1700 WATERMAN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48209-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437169786 | Jaswant Purohit | Psychiatry & Neurology | 1700 Waterman St, Detroit, MI 48209-2022 | 2006-08-09 |
| 1912513839 | Erica Medina | Counselor | 1700 Waterman St, Detroit, MI 48209-2022 | 2020-09-16 |
| 1952934366 | Laura Owens | Registered Nurse | 1700 Waterman St, Detroit, MI 48209-2022 | 2020-02-14 |
| 1013556026 | Jamice Sade' Harris | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-12-23 |
| 1033755269 | Rodney Harold Averett | Counselor | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-11-22 |
| 1124685433 | Kristina Nicole Henning | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-05-22 |
| 1861952517 | Edward Grumeretz | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-03-20 |
| 1679047427 | Candice Taylor | Technician, Other | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-01-15 |
| 1154826311 | Stephanye Lavenant | Case Manager/Care Coordinator | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-03-28 |
| 1356846612 | Mary Regina Martinez | Case Manager/Care Coordinator | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447716014 | Helen Berlie | Pharmacist | 7633 E Jefferson Ave Ste 340, Detroit, MI 48214-3732 | 2019-02-19 |
| 1760041800 | Maggie Faraj | Pharmacist | 3990 John R St, Detroit, MI 48201-2018 | 2019-06-12 |
| 1518421072 | Charlotte Denise Miller | Pharmacist | 2925 Russell St Ste 100, Detroit, MI 48207-4825 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806298 | Kathleen Hannah | Pharmacist | 271 N Groesbeck Hwy, Mount Clemens, MI 48043-1546 | 2020-06-21 |
| 1043868409 | Krishna Shankar Rangarajan | Pharmacist | 32 Cloveridge Dr, Troy, MI 48084-5411 | 2019-08-29 |
| 1316417553 | Bethany Lynn Muma | Pharmacist | 2900 Watkins Rd, Battle Creek, MI 49015-8604 | 2018-11-30 |
| 1598272627 | Erika Perpich | Pharmacist | 33300 Five Mile Rd Ste 210, Livonia, MI 48154-3077 | 2018-01-10 |
| 1518491505 | Jennifer Leanne Grando | Pharmacist | 26375 Halsted Rd Apt 101, Farmington Hills, MI 48331-3743 | 2017-04-17 |
| 1467984567 | Susan Arens | Pharmacist | 3544 Meridian Crossings Ste 120, Okemos, MI 48864-4589 | 2017-03-29 |
| 1346607850 | Annaliese Brindley | Pharmacist | 29200 Northwestern Hwy Ste 325, Southfield, MI 48034-1061 | 2016-01-28 |
| 1851991418 | John M Leach | Pharmacist | 555 E Genesee St, Lapeer, MI 48446-4611 | 2020-10-31 |
| 1538778881 | Ryan M Lalonde | Pharmacist | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2020-07-23 |
| 1376163279 | Danielle Goudreau | Pharmacist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2020-04-21 |
| 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.