Active NPI
Jennifer Flynn, PHARM D.
- Pharmacist
- Anthem, AZ
National Provider Identifier
1073243259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025800
- Practice address
- 3655 W Anthem Way
Anthem, AZ 85086-0430 - Phone
- (623) 745-3805
- NPI assigned
- Jun 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S025800 | AZ | Primary |
Addresses
Primary practice location
3655 W Anthem Way
Anthem, AZ 85086-0430
Mailing address
39911 N River Bend Rd
Anthem, AZ 85086-4605
Phone (602) 319-1012
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
| License | State | Type | Specialty |
|---|---|---|---|
| S025800 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654992000000",
"number": "1073243259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39911 N RIVER BEND RD",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850864605",
"telephone_number": "602-319-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 W ANTHEM WAY",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850860430",
"telephone_number": "623-745-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-12",
"last_updated": "2022-06-12",
"certification_date": "2022-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.