Channarong Jaruvangsanti, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

S010041 Issued in AZ

Practice address

408 W Aire Libre Ave
Phoenix, AZ 85023-7923

Phone

(602) 481-3328

NPI assigned

Oct 14, 2014

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2014.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1003210428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W AIRE LIBRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W AIRE LIBRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237923",
            "telephone_number": "602-481-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARUVANGSANTI",
        "first_name": "CHANNARONG",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn E Jaroszewski, M.D.
• Randa Jarrar, MD
• Kayla Jean Jarred, PSYCHOLOGY ASSISTANT
• Sheree Jarrell
• Nia Monique Jarrett, PAC
• Claire Jarvie, PHARMD
• Jarvis Tzeng, DO, P.a.
• Angela Michelle Jarvis, FNP-C
• Anne Marie Jarvis, MD
• John Heber Jarvis, M.D.

• All providers in Phoenix, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.