Provider Demographics
NPI:1679753792
Name:BAIRD, WHITNEY HOPE (PHARM D)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:HOPE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LAKE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5800
Mailing Address - Country:US
Mailing Address - Phone:845-692-5160
Mailing Address - Fax:
Practice Address - Street 1:300 N GALLERIA DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-3036
Practice Address - Country:US
Practice Address - Phone:845-692-5160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02335500Medicaid