Active NPI
Nathaniel Allen Poole, D.O., PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Sacaton, AZ
National Provider Identifier
1427432525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- S021293
- Practice address
- 483 W Seed Farm Rd
Sacaton, AZ 85147 - Phone
- (520) 562-3321
- NPI assigned
- Jul 17, 2015
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S021293 | AZ | Primary |
Addresses
Primary practice location
483 W Seed Farm Rd
Sacaton, AZ 85147
Mailing address
PO Box 115
Sacaton, AZ 85147-0002
Phone (602) 528-1200
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 Osteopathy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S021293 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1427432525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "SACATON",
"state": "AZ",
"postal_code": "851470002",
"telephone_number": "602-528-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 W SEED FARM RD",
"city": "SACATON",
"state": "AZ",
"postal_code": "85147",
"telephone_number": "520-562-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "NATHANIEL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.O., PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S021293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.