Individual provider Active NPI

Ronald Opris, PHARMD

  • Pharmacist
  • Mesa, AZ
National Provider Identifier
1023617693
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024607 Issued in AZ
Practice address
1135 S Gilbert Rd
Mesa, AZ 85204-5205
Phone
(480) 926-1108
NPI assigned
Oct 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S024607 AZ Primary

Addresses

Primary practice location

1135 S Gilbert Rd
Mesa, AZ 85204-5205

Mailing address

17777 N Scottsdale Rd
Scottsdale, AZ 85255-6572
Phone (630) 401-6568

Other identifiers 1

IdentifierTypeStateIssuer
S024607OtherAZARIZONA STATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RX16073@CVSHealth.com

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

LicenseStateTypeSpecialty
S024607AZMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1023617693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556572",
            "telephone_number": "630-401-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045205",
            "telephone_number": "480-926-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPRIS",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PHARMACY",
            "identifier": "S024607",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RX16073@CVSHealth.com",
            "affiliation": "N",
            "endpointDescription": "this is a secure CVS database and email for confidential information sharing purpose only",
            "address_1": "1135 S Gilbert Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852045205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.