Individual provider Active NPI

Babatunde Ghanni, PHARM D

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1053643676
Registry record updated Feb 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13816 Issued in AZ
Practice address
3401 W Greenway Rd
Phoenix, AZ 85053-3807
Phone
(602) 993-5200
NPI assigned
Feb 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13816 AZ Primary

Addresses

Primary practice location

3401 W Greenway Rd
Phoenix, AZ 85053-3807

Mailing address

3401 W Greenway Rd
Phoenix, AZ 85053-3807
Phone (602) 993-5200

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
13816AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265414400000",
    "number": "1053643676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533807",
            "telephone_number": "602-993-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533807",
            "telephone_number": "602-993-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANNI",
        "first_name": "BABATUNDE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "13816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; 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.