Active NPI
Christopher Fuentes
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1548963606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026362
- Practice address
- 520 W Osborn Rd
Phoenix, AZ 85013-3808 - Phone
- (602) 285-0661
- NPI assigned
- Mar 27, 2023
- Last updated
- Mar 27, 2023
- 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 | S026362 | AZ | Primary |
Addresses
Primary practice location
520 W Osborn Rd
Phoenix, AZ 85013-3808
Mailing address
102 E Hadley St
Phoenix, AZ 85004-2637
Phone (602) 515-9753
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 |
|---|---|---|---|
| S026362 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1548963606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E HADLEY ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042637",
"telephone_number": "602-515-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W OSBORN RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133808",
"telephone_number": "602-285-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026362",
"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 Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.