Active NPI
Audra Puodziukas
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1265864839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019943
- Practice address
- 2021 N Pinal Ave
Casa Grande, AZ 85122-1417 - Phone
- (727) 641-8767
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
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 | S019943 | AZ | Primary |
Addresses
Primary practice location
2021 N Pinal Ave
Casa Grande, AZ 85122-1417
Mailing address
700 E Rodeo Rd Apt 287
Casa Grande, AZ 85122-6476
Phone (727) 641-8767
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 |
|---|---|---|---|
| S019943 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1265864839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E RODEO RD APT 287",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226476",
"telephone_number": "727-641-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N PINAL AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851221417",
"telephone_number": "727-641-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUODZIUKAS",
"first_name": "AUDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.