Jenny Van Du

Primary specialty

PharmacistTaxonomy code 183500000X

License

15991 Issued in AZ

Practice address

5125 W Olive Ave
Glendale, AZ 85302-4204

Phone

(623) 931-0882

NPI assigned

Jul 31, 2007

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arizona CVS Stores LLC

  dba CVS Pharmacy #08952

  • Pharmacy
  • Peoria, AZ
  • NPI 1134549181
  NPD (past)
• Arizona CVS Stores LLC

  dba CVS Pharmacy #08983

  • Pharmacy
  • Glendale, AZ
  • NPI 1285930164
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1578753935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024204",
            "telephone_number": "623-931-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024204",
            "telephone_number": "623-931-0882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12647 Olive Blvd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416345",
            "country_code": "US",
            "telephone_number": "800-325-3982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14800 W Mountain View Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853744796",
            "country_code": "US",
            "telephone_number": "623-476-5958",
            "fax_number": "623-476-7391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DU",
        "first_name": "JENNY",
        "middle_name": "VAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55553",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "15991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dreamline Trans LLC
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• William E Drobnes, M D
• DSS Uniter, LLC
• Claudia Duarte
• Jacquelyn Jackson Duarte, RN, BSN, MPA, M.ED.
• Olivia Duarte
• Michael Lee Dubets, D.O.
• Caren Ducharme, L.AC.

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.