Alexian B Onyenso, PHARMD
Individual provider Active NPI Pharmacist · Youngtown, AZ
NPI 1457539397 · NPPES record last updated Jan 1, 2025
Key facts
- NPI
- 1457539397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S024424 (AZ)
- Practice address
- 12012 N 111TH Ave
Youngtown, AZ 85363-1339 - Phone
- (480) 258-2339
- NPI assigned
- Feb 2, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024424 | AZ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024424 | AZ | Yes |
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
Other providers in Youngtown, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.