Active NPI
Sophenia Grover
- Pharmacist
- Tuba City, AZ
National Provider Identifier
1437630860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16650
- Practice address
- 167 N. Main Street
Tuba City, AZ 86045 - Phone
- (928) 283-2754
- Fax
- (928) 283-2758
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16650 | AL | Primary |
Addresses
Primary practice location
167 N. Main Street
Tuba City, AZ 86045
Mailing address
5250 E Cortland Blvd Apt 63
Flagstaff, AZ 86004-8308
Phone (334) 329-3040
Other names 1
- Sophenia Whitehead
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16650 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1437630860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 E CORTLAND BLVD APT 63",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860048308",
"telephone_number": "334-329-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 N. MAIN STREET",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "86045",
"telephone_number": "928-283-2754",
"fax_number": "928-283-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "SOPHENIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHENIA",
"last_name": "WHITEHEAD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tuba City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.