Active NPI
Christopher Ewing, PHARMD
- Pharmacist
- El Mirage, AZ
National Provider Identifier
1558691691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S015004
- Practice address
- 12244 W Cactus Rd
El Mirage, AZ 85335-2399 - Phone
- (623) 876-1620
- NPI assigned
- Jan 13, 2010
- Last updated
- Jan 13, 2010
- 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 | S015004 | AZ | Primary |
Addresses
Primary practice location
12244 W Cactus Rd
El Mirage, AZ 85335-2399
Mailing address
12244 W Cactus Rd
El Mirage, AZ 85335-2399
Phone (623) 876-1620
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 |
|---|---|---|---|
| S015004 | 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": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1558691691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12244 W CACTUS RD",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853352399",
"telephone_number": "623-876-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12244 W CACTUS RD",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853352399",
"telephone_number": "623-876-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "CHRISTOPHER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S015004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Mirage, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.