Active NPI
Courtney Jeter
- Pharmacist
- Scottsdale, AZ
National Provider Identifier
1467971838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022894
- Practice address
- 8015 E Indian School Rd
Scottsdale, AZ 85251-2617 - Phone
- (480) 990-0202
- NPI assigned
- Sep 16, 2017
- Last updated
- Sep 16, 2017
- Sex
- Female
- 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 | S022894 | AZ | Primary |
Addresses
Primary practice location
8015 E Indian School Rd
Scottsdale, AZ 85251-2617
Mailing address
7501 E McDowell Rd Apt 3198
Scottsdale, AZ 85257-3575
Other names 1
- Courtney Manlove
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 |
|---|---|---|---|
| S022894 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505520000000",
"number": "1467971838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 E MCDOWELL RD APT 3198",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852573575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 E INDIAN SCHOOL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852512617",
"telephone_number": "480-990-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-16",
"last_updated": "2017-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "MANLOVE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.