Active NPI
Judith Agnes Bodor, PHARM.D.
- Pharmacist
- Oro Valley, AZ
National Provider Identifier
1508036047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13761
- Practice address
- 10450 N la Canada Dr
Oro Valley, AZ 85737-7027 - Phone
- (520) 977-5822
- NPI assigned
- Mar 11, 2008
- 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 | 13761 | AZ | Primary |
Addresses
Primary practice location
10450 N la Canada Dr
Oro Valley, AZ 85737-7027
Mailing address
PO Box 69154
Oro Valley, AZ 85737-0011
Phone (520) 977-5822
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 |
|---|---|---|---|
| 13761 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1508036047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69154",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857370011",
"telephone_number": "520-977-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 N LA CANADA DR",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857377027",
"telephone_number": "520-977-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODOR",
"first_name": "JUDITH",
"middle_name": "AGNES",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "13761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.