Kerry Colleen Conway, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S011602 Issued in AZ

Practice address

23620 N 20TH Dr
#12
Phoenix, AZ 85085-0621

Phone

(623) 434-3663

Fax

(623) 434-3676

NPI assigned

Oct 21, 2009

Last updated

Oct 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1407182751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 N 20TH DR",
            "address_2": "#12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850621",
            "telephone_number": "623-434-3663",
            "fax_number": "623-434-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23620 N 20TH DR",
            "address_2": "#12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850621",
            "telephone_number": "623-434-3663",
            "fax_number": "623-434-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KERRY",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "29284",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S011602",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Paul Conway Jr., FNP
• Edward Patrick Conway, PHARMD,RPH
• Eileen M Conway, PSY.D.
• Erin Conway, NP
• John Leo Conway Jr.
• Michael John Conway, M.D.
• Laura K Cook-Gongora
• Adam T Cook, DPT
• Alexandra Cook
• Anne Cook, MSW

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.