Active NPI
Kris Roger Stiles, RPH
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1154602811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S007758
- Practice address
- 850 E Hatcher Rd
Pharmacy
Phoenix, AZ 85020-2693 - Phone
- (602) 216-1473
- Fax
- (602) 216-1467
- NPI assigned
- Sep 7, 2011
- Last updated
- Sep 7, 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 | S007758 | AZ | Primary |
Addresses
Primary practice location
850 E Hatcher Rd
Pharmacy
Phoenix, AZ 85020-2693
Mailing address
833 E Village Circle Dr S
Phoenix, AZ 85022-4814
Phone (602) 828-3187
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
| License | State | Type | Specialty |
|---|---|---|---|
| S007758 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frys Food and Drug
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1497797039
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1154602811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 E VILLAGE CIRCLE DR S",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224814",
"telephone_number": "602-828-3187",
"fax_number": "602-344-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E HATCHER RD",
"address_2": "PHARMACY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202693",
"telephone_number": "602-216-1473",
"fax_number": "602-216-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "KRIS",
"middle_name": "ROGER",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S007758",
"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 Sep 7, 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.