J. Lyle Lamoureux, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

SO14109 Issued in AZ

Practice address

3100 Glassford Hill Road
Frys Food and Drugs
Prescott Valley, AZ 86314

Phone

(928) 445-0607

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Joseph Lyle Lamoureux Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1235259649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 BUTTE VIS",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863159770",
            "telephone_number": "928-772-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GLASSFORD HILL ROAD",
            "address_2": "FRYS FOOD AND DRUGS",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-445-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOUREUX",
        "first_name": "J.",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "2962",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "SO14109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "LAMOUREUX",
            "middle_name": "LYLE",
            "prefix": "MR.",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.