Active NPI
Christi Jen, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Sun City, AZ
National Provider Identifier
1164801148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 051291961
- Practice address
- 10401 W Thunderbird Blvd
Banner Boswell Medical Center Dept of Pharmacy
Sun City, AZ 85351-3004 - Phone
- (623) 832-4746
- NPI assigned
- May 24, 2015
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051291961 | IL | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S016164 | AZ |
Addresses
Primary practice location
10401 W Thunderbird Blvd
Banner Boswell Medical Center Dept of Pharmacy
Sun City, AZ 85351-3004
Mailing address
10401 W Thunderbird Blvd
Banner Boswell Medical Center Dept of Pharmacy
Sun City, AZ 85351-3004
Phone (623) 832-4746
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 |
|---|---|---|---|
| S016164 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 051291961 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432425600000",
"number": "1164801148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 W THUNDERBIRD BLVD",
"address_2": "BANNER BOSWELL MEDICAL CENTER DEPT OF PHARMACY",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513004",
"telephone_number": "623-832-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 W THUNDERBIRD BLVD",
"address_2": "BANNER BOSWELL MEDICAL CENTER DEPT OF PHARMACY",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513004",
"telephone_number": "623-832-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEN",
"first_name": "CHRISTI",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-24",
"last_updated": "2015-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051291961",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S016164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.