Active NPI
Gaetan Ntezeh Nkemzi
- Pharmacist
- Sahuarita, AZ
National Provider Identifier
1174965628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019884
- Practice address
- 1301 W. Duval Mine Rd
Sahuarita, AZ 85629 - Phone
- (520) 393-0084
- NPI assigned
- Jul 25, 2013
- 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 | S019884 | AZ | Primary |
Addresses
Primary practice location
1301 W. Duval Mine Rd
Sahuarita, AZ 85629
Mailing address
3339 E Monte Vista Dr
Apt # 12
Tucson, AZ 85716-1964
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 |
|---|---|---|---|
| S019884 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Loving Home Care LLC | Current | 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.
-
- Home Health Agency
- Tucson, AZ
- NPI 1609474071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1174965628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3339 E MONTE VISTA DR",
"address_2": "APT # 12",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W. DUVAL MINE RD",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "85629",
"telephone_number": "520-393-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKEMZI",
"first_name": "GAETAN",
"middle_name": "NTEZEH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sahuarita, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.