Active NPI
John David Thierer, PHARM D
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1083902670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018571
- Practice address
- 8280 W Lower Buckeye Rd
Phoenix, AZ 85043-7405 - Phone
- (623) 936-6388
- NPI assigned
- Jul 16, 2011
- Sex
- Male
- 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 | S018571 | AZ | Primary |
Addresses
Primary practice location
8280 W Lower Buckeye Rd
Phoenix, AZ 85043-7405
Mailing address
25270 W la Mont Ave
Buckeye, AZ 85326-2486
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 |
|---|---|---|---|
| S018571 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1310774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310774400000",
"number": "1083902670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25270 W LA MONT AVE",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853262486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8280 W LOWER BUCKEYE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850437405",
"telephone_number": "623-936-6388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIERER",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-16",
"last_updated": "2011-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018571",
"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 Jul 16, 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.