Ray Conrad Espiritu Hernandez

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024589 Issued in AZ

Practice address

1654 N Pebble Creek Pkwy
Goodyear, AZ 85395-2571

Phone

(623) 207-6808

Fax

(623) 207-6814

NPI assigned

Nov 10, 2020

Last updated

Nov 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CVS Health

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1700483625
  NPD Authorized official
• Walgreen Co

  dba Walgreens #12334

  • Pharmacy
  • Goodyear, AZ
  • NPI 1215265145
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1033711502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 N PEBBLE CREEK PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952571",
            "telephone_number": "623-207-6808",
            "fax_number": "623-207-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 N PEBBLE CREEK PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952571",
            "telephone_number": "623-207-6808",
            "fax_number": "623-207-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAY CONRAD",
        "middle_name": "ESPIRITU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Elise Herman, PT, DPT
• Adriana Hernandez Onofre, RBT
• Denise Hernandez, FNP-C
• Miguel R Hernandez, P.T.
• Nicole Hernandez, OTR/L
• Maricella Josephina-Juanita Herrera
• William J Herrmann, MD
• Mercedes Herzog
• Kimberly Hesjedal, LCSW
• Halen Heussner, DO

• Pharmacist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.