Active NPI
Adrienne Neda Fletcher, PHARM.D.
- Pharmacist
- Gilbert, AZ
National Provider Identifier
1205265808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020151
- Practice address
- 714 S Val Vista Dr
Fry'S Pharmacy
Gilbert, AZ 85296-3140 - Phone
- (480) 654-9337
- NPI assigned
- Nov 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020151 | AZ | Primary |
| Pharmacist | 183500000X | 53763 | TX |
Addresses
Primary practice location
714 S Val Vista Dr
Fry'S Pharmacy
Gilbert, AZ 85296-3140
Mailing address
680 E Betsy LN
Gilbert, AZ 85296-4198
Phone (480) 370-7733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143925 | Medicaid | TX |
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 |
|---|---|---|---|
| S020151 | AZ | MD | Pharmacist |
| 53763 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith'S Food & Drug Centers Inc | 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.
-
- Community/Retail Pharmacy
- Gilbert, AZ
- NPI 1679515258
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1205265808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 E BETSY LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964198",
"telephone_number": "480-370-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 S VAL VISTA DR",
"address_2": "FRY'S PHARMACY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963140",
"telephone_number": "480-654-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "ADRIENNE",
"middle_name": "NEDA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020151",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53763",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143925",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.