Individual provider Active NPI

James Albert Vernon, REG PHARMACIST

  • Pharmacist
  • Sun Lakes, AZ
National Provider Identifier
1255741112
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
SO3432 Issued in AZ
Practice address
25817 S Sherbrook Dr
Sun Lakes, AZ 85248-6838
Phone
(480) 895-6625
Fax
(480) 895-3885
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 SO3432 AZ Primary

Addresses

Primary practice location

25817 S Sherbrook Dr
Sun Lakes, AZ 85248-6838

Mailing address

25817 S Sherbrook Dr
Sun Lakes, AZ 85248-6838
Phone (480) 895-6625

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

LicenseStateTypeSpecialty
SO3432AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1255741112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25817 S SHERBROOK DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486838",
            "telephone_number": "480-895-6625",
            "fax_number": "480-895-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25817 S SHERBROOK DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486838",
            "telephone_number": "480-895-6625",
            "fax_number": "480-895-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "REG PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "SO3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.