Active NPI
Kevin Ouellette
- Pharmacist
- Chandler, AZ
National Provider Identifier
1184149478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022861
- Practice address
- 1919 N Dobson Rd
Chandler, AZ 85224-2237 - Phone
- (480) 899-6713
- NPI assigned
- Aug 8, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S022861 | AZ | Primary |
Addresses
Primary practice location
1919 N Dobson Rd
Chandler, AZ 85224-2237
Mailing address
10195 E Pinto Pony Dr
Florence, AZ 85132-7126
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 |
|---|---|---|---|
| S022861 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Chandler, AZ
- NPI 1891700126
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1184149478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10195 E PINTO PONY DR",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851327126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 N DOBSON RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242237",
"telephone_number": "480-899-6713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.