Active NPI
Jeff Terry
- Pharmacist
- Surprise, AZ
National Provider Identifier
1255631644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14980
- Practice address
- 14505 W Grand Ave
Surprise, AZ 85374-4358 - Phone
- (623) 975-4030
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 14980 | AZ | Primary |
Addresses
Primary practice location
14505 W Grand Ave
Surprise, AZ 85374-4358
Mailing address
15164 N 140TH Dr Apt 1193
Surprise, AZ 85379-8574
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 |
|---|---|---|---|
| 14980 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1255631644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15164 N 140TH DR APT 1193",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853798574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 W GRAND AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744358",
"telephone_number": "623-975-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "JEFF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "14980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
- Teddy Bear Pediatrics, LLC
- Shamim Tejani, PHARMD
- Daesia Tellez
- Yamel Adriana Tellez, CM
- Anabel Margaret Terry, NMD
- Moses Tezeh
- Thbelnap, LLC (PurTone Hearing Centers)
- The Acapulco House (L3 Residential Facilities LLC)
- The Caribbean House (L3 Residential Facilities LLC)
- The Ortho Joint of Arizona, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.