Active NPI
Jason Jay Kean
- Pharmacy Technician
- Surprise, AZ
National Provider Identifier
1356959571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T069665
- Practice address
- 15300 N Cotton LN
Surprise, AZ 85388-9613 - Phone
- (623) 584-8558
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T069665 | AZ | Primary |
Addresses
Primary practice location
15300 N Cotton LN
Surprise, AZ 85388-9613
Mailing address
15300 N Cotton LN
Surprise, AZ 85388-9613
Phone (623) 584-8558
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 |
|---|---|---|---|
| T069665 | AZ | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Current | Accepting new patients | |
| German Dobson CVS LLC | Past | 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.
-
- Pharmacy
- Surprise, AZ
- NPI 1467865691
-
- Pharmacy
- Queen Creek, AZ
- NPI 1639053374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1356959571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889613",
"telephone_number": "623-584-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889613",
"telephone_number": "623-584-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAN",
"first_name": "JASON",
"middle_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AZ",
"license": "T069665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.