Active NPI
Jena Allred, PHARMACIST INTERN
- Pharmacist
- Glendale, AZ
National Provider Identifier
1114548989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I024187
- Practice address
- 19555 N 59TH Ave
Glendale, AZ 85308-6813 - Phone
- (623) 572-3215
- NPI assigned
- May 2, 2020
- 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 | I024187 | AZ | Primary |
Addresses
Primary practice location
19555 N 59TH Ave
Glendale, AZ 85308-6813
Mailing address
16630 N 43Rd Ave Apt 185
Glendale, AZ 85306-1536
Phone (435) 669-7963
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I024187 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1114548989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16630 N 43RD AVE APT 185",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853061536",
"telephone_number": "435-669-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19555 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086813",
"telephone_number": "623-572-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "JENA",
"credential": "PHARMACIST INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-02",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "I024187",
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.