Individual provider Active NPI

Claudia Barraza Avilez, PHARMD

  • Pharmacist
  • Glendale, AZ
National Provider Identifier
1083900146
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S014908 Issued in AZ
Practice address
9350 W Northern Ave
T-1361
Glendale, AZ 85305-1103
Phone
(623) 877-3481
Fax
(623) 877-3481
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S014908 AZ Primary

Addresses

Primary practice location

9350 W Northern Ave
T-1361
Glendale, AZ 85305-1103

Mailing address

9350 W Northern Ave
T-1361
Glendale, AZ 85305-1103
Phone (623) 877-3481

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
S014908AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1083900146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 W NORTHERN AVE",
            "address_2": "T-1361",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051103",
            "telephone_number": "623-877-3481",
            "fax_number": "623-877-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 W NORTHERN AVE",
            "address_2": "T-1361",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051103",
            "telephone_number": "623-877-3481",
            "fax_number": "623-877-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILEZ",
        "first_name": "CLAUDIA",
        "middle_name": "BARRAZA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.