Active NPI
Amy Jean Delano, PHARMD
- Pharmacist
- Glendale, AZ
National Provider Identifier
1417287434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S014955
- Practice address
- 17612 N 59TH Ave
Glendale, AZ 85308-3795 - Phone
- (602) 942-8270
- NPI assigned
- Jan 14, 2010
- Last updated
- Sep 9, 2011
- Sex
- Female
- 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 | S014955 | AZ | Primary |
Addresses
Primary practice location
17612 N 59TH Ave
Glendale, AZ 85308-3795
Mailing address
8698 W Bent Tree Dr
Peoria, AZ 85383-3861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 739948 | Medicaid | AZ |
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 |
|---|---|---|---|
| S014955 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avella of Arrowhead, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Glendale, AZ
- NPI 1598755548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1417287434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8698 W BENT TREE DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17612 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083795",
"telephone_number": "602-942-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANO",
"first_name": "AMY",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S014955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "739948",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.