Active NPI
Jerry Redfield Jr.
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1386059376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S013005
- Practice address
- 1686 E Florence Blvd
Casa Grande, AZ 85122-4777 - Phone
- (520) 876-4357
- Fax
- (520) 876-5031
- NPI assigned
- Jun 27, 2014
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S013005 | AZ | Primary |
Addresses
Primary practice location
1686 E Florence Blvd
Casa Grande, AZ 85122-4777
Mailing address
644 E Hearne Way
Gilbert, AZ 85234-6444
Phone (480) 216-2240
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 |
|---|---|---|---|
| S013005 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Past | Accepting new patients | |
| German Dobson CVS, L.L.C. | Past | Accepting new patients |
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
- Queen Creek, AZ
- NPI 1639053374
-
- Pharmacy
- Casa Grande, AZ
- NPI 1538264379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1386059376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 E HEARNE WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852346444",
"telephone_number": "480-216-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1686 E FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224777",
"telephone_number": "520-876-4357",
"fax_number": "520-876-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFIELD",
"first_name": "JERRY",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S013005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.