Lenore Janis Vandergriend

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

T073999 Issued in AZ

Practice address

24565 N 78TH Ave
Peoria, AZ 85383-1628

Phone

(330) 518-6278

NPI assigned

Dec 19, 2021

Last updated

Dec 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1255091260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24565 N 78TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831628",
            "telephone_number": "330-518-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24565 N 78TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831628",
            "telephone_number": "330-518-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIEND",
        "first_name": "LENORE",
        "middle_name": "JANIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "T073999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy Technician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacy Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; 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.