Individual provider Active NPI

Alexian B Onyenso, PHARMD

  • Pharmacist
  • Youngtown, AZ
National Provider Identifier
1457539397
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024424 Issued in AZ
Practice address
12012 N 111TH Ave
Youngtown, AZ 85363-1339
Phone
(480) 258-2339
NPI assigned
Feb 2, 2008
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S024424 AZ Primary

Addresses

Primary practice location

12012 N 111TH Ave
Youngtown, AZ 85363-1339

Mailing address

8688 E Raintree Dr Apt 1039
Scottsdale, AZ 85260-0013
Phone (480) 258-2339

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

LicenseStateTypeSpecialty
S024424AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1457539397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8688 E RAINTREE DR APT 1039",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852600013",
            "telephone_number": "480-258-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 N 111TH AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631339",
            "telephone_number": "480-258-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYENSO",
        "first_name": "ALEXIAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngtown, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.