Active NPI
Rowdy R Atkinson, PHARMD
- Pharmacist
- Whiteriver, AZ
National Provider Identifier
1306915533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5856
- Practice address
- Highway 73 Milepost 342
Whiteriver, AZ 85941 - Phone
- (928) 338-3504
- Fax
- (928) 338-3510
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Nephrology Physician
- Bullhead City, AZ
- NPI 1487140539
-
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1861811432
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
| License | State | Type | Specialty |
|---|---|---|---|
| P5856 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akdhc, LLC | Past | Accepting new patients | |
| Arizona Pediatric Cardiology, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5856 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Highway 73 Milepost 342
Whiteriver, AZ 85941
Mailing address
1542 S Julia LN
Lakeside, AZ 85929-6320
Phone (928) 338-3504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306915533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 S JULIA LN",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859296320",
"telephone_number": "928-338-3504",
"fax_number": "928-338-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 73 MILEPOST 342",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-3504",
"fax_number": "928-338-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "ROWDY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.