Jeremy R Ding, PHARMD

Primary specialty

PharmacyTaxonomy code 333600000X

License

S025779 Issued in AZ

Practice address

3361 N Litchfield Rd
Goodyear, AZ 85395-2125

Phone

(623) 935-1314

NPI assigned

May 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Goodyear, AZ
  • NPI 1598770844
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1417695388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 E DEER VALLEY DR UNIT 234",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545665",
            "telephone_number": "240-421-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952125",
            "telephone_number": "623-935-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DING",
        "first_name": "JEREMY",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "S025779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3361 N Litchfield Rd",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853952125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Dicicco, OT, DOT
• Lynn M Dierks, ACNP
• Michelle Dillon, CCC-SLP
• Jennifer S Dimas, WHNP-BC
• Jocelyn Abueva Dimeco, FNP
• Sarah Marie Disney
• Conrad Franklin Diven, MD
• Divergent Recovery LLC
• Divine Assurance Behavioral Health Residentail Care LLC
• Divine Assurance Behavioral Health Residentail Care LLC

• Pharmacy in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.