Individual provider Active NPI

Jessica Vaccaro, PHARMD, RPH

  • Pharmacist
  • Scottsdale, AZ
National Provider Identifier
1073236337
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S026108 Issued in AZ
Practice address
15990 N Greenway Hayden Loop Ste D100
Scottsdale, AZ 85260-2269
Phone
(877) 662-6633
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S026108 AZ Primary

Addresses

Primary practice location

15990 N Greenway Hayden Loop Ste D100
Scottsdale, AZ 85260-2269

Mailing address

6321 E Greenway Rd
Scottsdale, AZ 85254-1910
Phone (702) 467-9139

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S026108AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sina Drug LLC CurrentSince Mar 11, 2025 Accepting new patients
Smiths Food & Drug Centers Inc PastSince Sep 1, 2022 Accepting new patients
Smith'S Food & Drug Centers Inc PastSince Sep 1, 2022 Accepting new patients

Locations

15990 N Greenway Hayden Loop
Ste D100
Scottsdale, AZ 85260

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1073236337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 E GREENWAY RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541910",
            "telephone_number": "702-467-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15990 N GREENWAY HAYDEN LOOP STE D100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602269",
            "telephone_number": "877-662-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "JESSICA",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.