Individual provider Active NPI

Robin Suzette O'Nele, PHARM.D

  • Pharmacist
  • Anthem, AZ
National Provider Identifier
1265767206
Registry record updated Oct 8, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Oct 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14246 Issued in AZ
Practice address
39508 N Daisy Mountain Dr
Anthem, AZ 85086-6056
Phone
(623) 551-7221
Fax
(623) 551-7220
NPI assigned
Oct 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14246 AZ Primary

Addresses

Primary practice location

39508 N Daisy Mountain Dr
Anthem, AZ 85086-6056

Mailing address

3656 W Denali Dr
Anthem, AZ 85086-8027
Phone (623) 476-2314

Other names 1

  • Miss Robin Suzette Davidson Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14246AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiths Food & Drug Centers Inc Past Accepting new patients
Smith's Food & Drug Centers Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1265767206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 W DENALI DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850868027",
            "telephone_number": "623-476-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39508 N DAISY MOUNTAIN DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866056",
            "telephone_number": "623-551-7221",
            "fax_number": "623-551-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NELE",
        "first_name": "ROBIN",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "14246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "DAVIDSON",
            "middle_name": "SUZETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.