Individual provider Active NPI

Darryl Dwayne Ohmart, RPH

  • Pharmacist
  • Glendale, AZ
National Provider Identifier
1437572740
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S009134 Issued in AZ
Practice address
6550 W Happy Valley Rd
Glendale, AZ 85310-2614
Phone
(623) 566-6795
Fax
(623) 566-6795
NPI assigned
Jan 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S009134 AZ Primary

Addresses

Primary practice location

6550 W Happy Valley Rd
Glendale, AZ 85310-2614

Mailing address

26070 N 73Rd Dr
Peoria, AZ 85383-7323
Phone (602) 214-3707

Other identifiers 1

IdentifierTypeStateIssuer
S009134OtherAZSTATE BOARD OF PHARMACY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S009134AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. Past Accepting new patients
Walmart Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1437572740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26070 N 73RD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837323",
            "telephone_number": "602-214-3707",
            "fax_number": "623-566-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 W HAPPY VALLEY RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102614",
            "telephone_number": "623-566-6795",
            "fax_number": "623-566-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHMART",
        "first_name": "DARRYL",
        "middle_name": "DWAYNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S009134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "S009134",
            "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 Jan 23, 2014; 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.