Active NPI
Edward Hall
- Pharmacist
- Surprise, AZ
National Provider Identifier
1558788224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11154
- Practice address
- 14111 N Prasada Gateway Ave
Surprise, AZ 85388-2201 - Phone
- (623) 282-3215
- Fax
- (623) 282-3209
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- 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 | 11154 | AZ | Primary |
Addresses
Primary practice location
14111 N Prasada Gateway Ave
Surprise, AZ 85388-2201
Mailing address
14111 N Prasada Gateway Ave
Surprise, AZ 85388-2201
Phone (623) 282-3215
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1558788224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14111 N PRASADA GATEWAY AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853882201",
"telephone_number": "623-282-3215",
"fax_number": "623-282-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14111 N PRASADA GATEWAY AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853882201",
"telephone_number": "623-282-3215",
"fax_number": "623-282-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "11154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.