Active NPI
Andrew So
- Pharmacist
- Gilbert, AZ
National Provider Identifier
1013526987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024702
- Practice address
- 4766 E Queen Creek Rd
Gilbert, AZ 85297-8005 - Phone
- (480) 988-1908
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- 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 | S024702 | AZ | Primary |
Addresses
Primary practice location
4766 E Queen Creek Rd
Gilbert, AZ 85297-8005
Mailing address
763 E Whitten St
Chandler, AZ 85225-8939
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024702 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1013526987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 E WHITTEN ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852258939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4766 E QUEEN CREEK RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852978005",
"telephone_number": "480-988-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-27",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.