Individual provider Active NPI

Yue Yuan, PHARMD

  • Pharmacist
  • Scottsdale, AZ
National Provider Identifier
1295385847
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S023735 Issued in AZ
Practice address
11250 E Via Linda
Scottsdale, AZ 85259-4072
Phone
(480) 661-9963
Fax
(480) 661-2917
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S023735 AZ Primary

Addresses

Primary practice location

11250 E Via Linda
Scottsdale, AZ 85259-4072

Mailing address

428 W Secretariat Dr
Tempe, AZ 85284-1365
Phone (480) 206-0546

Other practice location 1

15300 N Cotton Ln
Surprise, AZ 85388-9613
Phone (623) 584-8558

Other names 1

  • Ms. Jenny Yuan Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL IntercomPlus Direct WALGREEN CO

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
S023735AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
German Dobson CVS LLC CurrentSince Apr 14, 2024 Accepting new patients
German Dobson CVS LLC PastSince Sep 1, 2019 Accepting new patients

Locations

15300 N Cotton Ln
Surprise, AZ 85388
Phone (623) 584-8558

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1295385847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W SECRETARIAT DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841365",
            "telephone_number": "480-206-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 E VIA LINDA",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594072",
            "telephone_number": "480-661-9963",
            "fax_number": "480-661-2917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15300 N Cotton Ln",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853889613",
            "country_code": "US",
            "telephone_number": "623-584-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUAN",
        "first_name": "YUE",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IntercomPlus",
            "affiliation": "Y",
            "endpointDescription": "Proprietary rx and EHR management software",
            "affiliationName": "WALGREEN CO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11250 E Via Linda",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852594072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "YUAN",
            "prefix": "MS.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.