Active NPI
Victoria Lynn Travis
- Pharmacist
- Rio Rico, AZ
National Provider Identifier
1194132316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I010188
- Practice address
- 1131 W Frontage Rd
Rio Rico, AZ 85648 - Phone
- (520) 761-3338
- NPI assigned
- Jul 21, 2014
- Sex
- Female
- 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 | I010188 | AZ | Primary |
Addresses
Primary practice location
1131 W Frontage Rd
Rio Rico, AZ 85648
Mailing address
4096 Piedmont Ave Unit 544
Oakland, CA 94611-5221
Phone (626) 354-5942
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 |
|---|---|---|---|
| I010188 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1194132316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4096 PIEDMONT AVE UNIT 544",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115221",
"telephone_number": "626-354-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W FRONTAGE RD",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "85648",
"telephone_number": "520-761-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "VICTORIA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "I010188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rico, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.