Individual provider Active NPI

Zachary Dorworth, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1629621099
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S022656 Issued in AZ
Practice address
1646 W Montebello Ave
Phoenix, AZ 85015-2557
Phone
(602) 293-4523
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S022656 AZ Primary

Addresses

Primary practice location

1646 W Montebello Ave
Phoenix, AZ 85015-2557

Mailing address

9240 E Redfield Rd Apt 323
Scottsdale, AZ 85260-3708
Phone (513) 748-9460

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
S022656AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1629621099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 E REDFIELD RD APT 323",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603708",
            "telephone_number": "513-748-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 W MONTEBELLO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152557",
            "telephone_number": "602-293-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORWORTH",
        "first_name": "ZACHARY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022656",
            "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 Jul 24, 2019; 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.