Organization Active NPI

ZJRD, LLC

  • Non-Pharmacy Dispensing Site
  • Peoria, AZ
National Provider Identifier
1063986511
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ZJRD, LLC
Practice address
13090 N 94TH Dr Ste 212
Peoria, AZ 85381-4258
Phone
(773) 547-8200
Fax
(602) 714-7176
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Adam T Kramer, MD
Title
Owner
Phone
(773) 547-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

13090 N 94TH Dr Ste 212
Peoria, AZ 85381-4258

Mailing address

13090 N 94TH Dr Ste 212
Peoria, AZ 85381-4258
Phone (773) 547-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1063986511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 212",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "773-547-8200",
            "fax_number": "602-714-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 212",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "773-547-8200",
            "fax_number": "602-714-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZJRD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-547-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.