Individual provider Active NPI

Janine Statt, PHARMD

  • Pharmacist
  • Tempe, AZ
National Provider Identifier
1619550217
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S020963 Issued in AZ
Practice address
140 E Rio Salado Pkwy Unit 712
Tempe, AZ 85281-5495
Phone
(805) 405-2699
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S020963 AZ Primary

Addresses

Primary practice location

140 E Rio Salado Pkwy Unit 712
Tempe, AZ 85281-5495

Mailing address

140 E Rio Salado Pkwy Unit 712
Tempe, AZ 85281-5495
Phone (805) 405-2699

Other practice location 1

140 E Rio Salado Pkwy Unit 712
Tempe, AZ 85281-5495
Phone (805) 405-2699

Other practice location 2

140 E Rio Salado Pkwy Unit 712
Tempe, AZ 85281-5495
Phone (805) 405-2699

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

LicenseStateTypeSpecialty
S020963AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1619550217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E RIO SALADO PKWY UNIT 712",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815495",
            "telephone_number": "805-405-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RIO SALADO PKWY UNIT 712",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815495",
            "telephone_number": "805-405-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E Rio Salado Pkwy Unit 712",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852815495",
            "country_code": "US",
            "telephone_number": "805-405-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Rio Salado Pkwy Unit 712",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852815495",
            "country_code": "US",
            "telephone_number": "805-405-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATT",
        "first_name": "JANINE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.