Active NPI
Chad McMinn, PHARMD
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1144621939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019494
- Practice address
- 8826 N 23Rd Ave # C2
Phoenix, AZ 85021-4154 - Phone
- (602) 216-1189
- NPI assigned
- Sep 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S019494 | AZ | Primary |
| Pharmacist | 183500000X | PHA0019542 | CO |
Addresses
Primary practice location
8826 N 23Rd Ave # C2
Phoenix, AZ 85021-4154
Mailing address
1817 N Dobson Rd Apt 2109
Chandler, AZ 85224-8721
Phone (480) 855-6895
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 |
|---|---|---|---|
| S019494 | AZ | MD | Pharmacist |
| PHA0019542 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1144621939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 N DOBSON RD APT 2109",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852248721",
"telephone_number": "480-855-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8826 N 23RD AVE # C2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850214154",
"telephone_number": "602-216-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMINN",
"first_name": "CHAD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019494",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0019542",
"primary": false
}
],
"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 Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.