Individual provider Active NPI

Erin Phoebe, PHARMD

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1255771853
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S019811 Issued in AZ
Practice address
605 W Ajo Way
Tucson, AZ 85713-6047
Phone
(520) 294-4683
Fax
(520) 294-4739
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S019811 AZ Primary

Addresses

Primary practice location

605 W Ajo Way
Tucson, AZ 85713-6047

Mailing address

605 W Ajo Way
Tucson, AZ 85713-6047
Phone (520) 294-4683

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

LicenseStateTypeSpecialty
S019811AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1255771853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136047",
            "telephone_number": "520-294-4683",
            "fax_number": "520-294-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136047",
            "telephone_number": "520-294-4683",
            "fax_number": "520-294-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOEBE",
        "first_name": "ERIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.