Individual provider Active NPI

Bill Jerome Kronenberg, RPH

  • Pharmacist
  • Sun City, AZ
National Provider Identifier
1356571707
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06004 Issued in NV
Practice address
14625 N Cameo Dr
Sun City, AZ 85351-2406
Phone
(623) 399-8217
Fax
(623) 399-8217
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 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 06004 NV Primary

Addresses

Primary practice location

14625 N Cameo Dr
Sun City, AZ 85351-2406

Mailing address

14625 N Cameo Dr
Sun City, AZ 85351-2406
Phone (623) 399-8217

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
06004NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1356571707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 N CAMEO DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512406",
            "telephone_number": "623-399-8217",
            "fax_number": "623-399-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 N CAMEO DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512406",
            "telephone_number": "623-399-8217",
            "fax_number": "623-399-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENBERG",
        "first_name": "BILL",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "06004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.