Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770194391 Individual Practitioner Male Practitioner

Dr. San Baban , PharmD

Pharmacist • Black Jack, MO

Professional Overview & Biography Verified Profile Summary

Dr. San Baban, PharmD is a registered healthcare professional specializing in Pharmacist in Black Jack, MO. Practice services are available at 12400 OLD HALLS FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12400 Old Halls Ferry Rd

Black Jack, MO 630334202

Telephone 3147418688
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1881600344

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Black Jack, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Black Jack, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2017031679

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1043593114

Registered Pharmacist

NPI 1447862321
NPI 1558643759

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2020

Registered at 12400 OLD HALLS FERRY RD, BLACK JACK, MO 630334202 (Tel: 3147418688)

📍
Updated Business Mailing Address August 17, 2020

Registered at 12400 OLD HALLS FERRY RD, BLACK JACK, MO 630334202

👤
Provider Name / Credentials Updated August 17, 2020

Recorded as SAN BABAN, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2020

Pharmacist (License #2017031679 in MO)

🟢
Initial NPI Registration & Enumeration August 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770194391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2020
Last Update: August 17, 2020
Sole Proprietor: No

Mailing Address

12400 Old Halls Ferry Rd

Black Jack, MO 630334202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.