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Deactivated NPI 1114129095 Deactivated / Inactive NPI Female Practitioner

Dr. Jennifer Lynn Baker , PharmD

Pharmacist • Holloman Afb, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jennifer Baker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2007
NPI Deactivation Date February 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Baker, PharmD was a registered Pharmacist practicing in Holloman Afb, NM. Throughout an active medical career spanning 17 years, Dr. Baker provided care at the practice location at 280 1ST ST until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

280 1st St

Holloman Afb, NM 883308273

Telephone 5055727318
Associated Practice Facility / Clinic
🏢 49th Medgrp-Holloman Facility NPI 1952374910

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Holloman Afb, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Holloman Afb, NM (2025 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NE 12516

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

22 Associated Practitioners
Anne Rivera , RD

Dietitian, Registered

NPI 1003265299

Registered Dietitian

NPI 1063785830

Doctor of Dental Surgery

Samuel Patton

Counselor - Addiction (Substance Use Disorder)

NPI 1124497623
NPI 1174049472

Physical Therapist, Doctor of Physical Therapy

Jennifer Wang

Pharmacist

NPI 1215214010
NPI 1306121462

Doctor of Optometry

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2024

Pharmacist (License #12516 in NE)

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Updated Practice Location November 21, 2019

Registered at 340 MAGNOLIA CIR, TYNDALL AFB, FL 324035604 (Tel: 8502837654)

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Updated Business Mailing Address November 21, 2019

Registered at 340 MAGNOLIA CIR, TYNDALL AFB, FL 324035604 (Tel: 8502837654)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 280 1ST ST, HOLLOMAN AFB, NM 883308273 (Tel: 5055727318)

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Updated Business Mailing Address July 08, 2007

Registered at 2842 QUAY LOOP APT B, HOLLOMAN AFB, NM 883307101 (Tel: 5054791529)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JENNIFER BAKER, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #12516 in NE)

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Initial NPI Registration & Enumeration June 04, 2007

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: 1114129095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2007
Last Update: July 08, 2007
Deactivation Date: February 28, 2024

Mailing Address

2842 Quay Loop Apt B

Holloman Afb, NM 883307101

Phone: 5054791529

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.