Active NPI
Phillip Tyler Lawrence, PHARM. D
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1467734368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018577
- Practice address
- 21025 N 8TH Way
Phoenix, AZ 85024-4101 - Phone
- (623) 815-8965
- Fax
- (623) 815-1222
- NPI assigned
- Sep 15, 2011
- 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 | 183500000X | S018577 | AZ | Primary |
Addresses
Primary practice location
21025 N 8TH Way
Phoenix, AZ 85024-4101
Mailing address
14555 W Mauna Loa LN
Surprise, AZ 85379-4752
Phone (801) 941-0580
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
| License | State | Type | Specialty |
|---|---|---|---|
| S018577 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1467734368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14555 W MAUNA LOA LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853794752",
"telephone_number": "801-941-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21025 N 8TH WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850244101",
"telephone_number": "623-815-8965",
"fax_number": "623-815-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "PHILLIP",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.