Active NPI
Jeremy R Ding, PHARMD
- Pharmacy
- Goodyear, AZ
National Provider Identifier
1417695388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- S025779
- Practice address
- 3361 N Litchfield Rd
Goodyear, AZ 85395-2125 - Phone
- (623) 935-1314
- NPI assigned
- May 21, 2022
- Last updated
- May 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 333600000X | S025779 | AZ | Primary |
Addresses
Primary practice location
3361 N Litchfield Rd
Goodyear, AZ 85395-2125
Mailing address
5550 E Deer Valley Dr Unit 234
Phoenix, AZ 85054-5665
Phone (240) 421-7276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacist | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| S025779 | AZ | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Pharmacy | Past | Accepting new patients |
| Walgreen Co | Pharmacy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}Other providers in Goodyear, AZ
- 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
Sources for this page
- 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.