Individual provider Active NPI

Ann Zoebisch Nimlos, R.PH.

  • Pharmacist
  • Peoria, AZ
National Provider Identifier
1144378241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S06973 Issued in AZ
Practice address
6817 W Peoria Ave
Safeway Pharmacy
Peoria, AZ 85345-9324
Phone
(623) 878-5028
Fax
(623) 878-5075
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 112374-0 MN
Pharmacist 183500000X S06973 AZ Primary

Addresses

Primary practice location

6817 W Peoria Ave
Safeway Pharmacy
Peoria, AZ 85345-9324

Mailing address

6413 W Corrine Dr
Glendale, AZ 85304-1608
Phone (623) 878-8391

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S06973AZMDPharmacist
112374-0MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144378241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 W CORRINE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041608",
            "telephone_number": "623-878-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 W PEORIA AVE",
            "address_2": "SAFEWAY PHARMACY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459324",
            "telephone_number": "623-878-5028",
            "fax_number": "623-878-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMLOS",
        "first_name": "ANN",
        "middle_name": "ZOEBISCH",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112374-0",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S06973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.