Active NPI
Lisa Valle, PHARMD
- Pharmacist
- Queen Creek, AZ
National Provider Identifier
1003292772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S0202189
- Practice address
- 21201 E Ocotillo Road
Queen Creek, AZ 85142 - Phone
- (480) 987-1615
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S0202189 | AZ | Primary |
Addresses
Primary practice location
21201 E Ocotillo Road
Queen Creek, AZ 85142
Mailing address
3850 E Sundance Ave
Gilbert, AZ 85297
Phone (219) 869-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0202189 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1003292772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 E SUNDANCE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85297",
"telephone_number": "219-869-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21201 E OCOTILLO ROAD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85142",
"telephone_number": "480-987-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "LISA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S0202189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
- Utah Home Hospice and Palliative Care, LLC
- Utterly Natural Speech Therapy, LLC
- Adrian Uy, LDO
- Melissa Kae Valenzuela-Settle, PH.D
- Jetta Valle, MSN, PMHNP, FNP
- Value Dental Centers Queen Creek Az LLC
- Esperanza H. Van Den Boom, SPEECH PATHOLOGIST
- Eric Bradford Vanausdal, OD
- Vance Physical Therapy, LLC
- Noel I Vandyke
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.