Individual provider Active NPI

Deborah Quijada, PHARM D

  • Pharmacist
  • Peoria, AZ
National Provider Identifier
1649679283
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11294 Issued in AZ
Practice address
9856 W Peoria Ave
Peoria, AZ 85345-6110
Phone
(623) 977-8260
Fax
(623) 876-0650
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11294 AZ Primary

Addresses

Primary practice location

9856 W Peoria Ave
Peoria, AZ 85345-6110

Mailing address

9856 W Peoria Ave
Peoria, AZ 85345-6110
Phone (623) 977-8260

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
11294AZMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1649679283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 W PEORIA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456110",
            "telephone_number": "623-977-8260",
            "fax_number": "623-876-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 W PEORIA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456110",
            "telephone_number": "623-977-8260",
            "fax_number": "623-876-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIJADA",
        "first_name": "DEBORAH",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "11294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.