Active NPI
Mary Kathleen Gurney, RPH, PHD
- Pharmacist
- Glendale, AZ
National Provider Identifier
1295722197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019097
- Practice address
- Midwestern University
19555 N 59TH Avenue
Glendale, AZ 85308 - Phone
- (623) 572-3525
- Fax
- (623) 572-3550
- NPI assigned
- Oct 5, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26016161A | IN | |
| Pharmacist | 183500000X | S019097 | AZ | Primary |
Addresses
Primary practice location
Midwestern University
19555 N 59TH Avenue
Glendale, AZ 85308
Mailing address
19555 N 59TH Ave
Glendale, AZ 85308-6813
Phone (623) 572-3525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S019097 | Other | AZ | ARIZONA BOARD OF PHARMACY |
| 26016161A | Other | IN | STATE PHARMACY LICENSE |
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S019097 | AZ | MD | Pharmacist |
| 26016161A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1295722197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19555 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086813",
"telephone_number": "623-572-3525",
"fax_number": "623-572-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MIDWESTERN UNIVERSITY",
"address_2": "19555 N 59TH AVENUE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "623-572-3525",
"fax_number": "623-572-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURNEY",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"name_prefix": "Prof.",
"credential": "RPH, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016161A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF PHARMACY",
"identifier": "S019097",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "26016161A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.