Individual provider Active NPI

Guadalupe Maria Sandoval, PHARM.D.

  • Pharmacist
  • Queen Creek, AZ
National Provider Identifier
1205248648
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S018073 Issued in AZ
Practice address
7587 S Power Rd
Queen Creek, AZ 85142-6323
Phone
(480) 988-3182
Fax
(480) 988-5409
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S018073 AZ Primary

Addresses

Primary practice location

7587 S Power Rd
Queen Creek, AZ 85142-6323

Mailing address

7587 S Power Rd
Queen Creek, AZ 85142-6323
Phone (480) 988-3182

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

LicenseStateTypeSpecialty
S018073AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
German Dobson CVS L.L.C. Past Accepting new patients
German Dobson CVS LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1205248648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7587 S POWER RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426323",
            "telephone_number": "480-988-3182",
            "fax_number": "480-988-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7587 S POWER RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426323",
            "telephone_number": "480-988-3182",
            "fax_number": "480-988-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "GUADALUPE",
        "middle_name": "MARIA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.