Individual provider Active NPI

Siobhan Dahley, CPHT

  • Pharmacy Technician
  • Tempe, AZ
National Provider Identifier
1649900341
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T005220 Issued in AZ
Practice address
8150 S Kyrene Rd
Tempe, AZ 85284-2115
Phone
(800) 788-2949
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T005220 AZ Primary

Addresses

Primary practice location

8150 S Kyrene Rd
Tempe, AZ 85284-2115

Mailing address

6910 W State Ave
Glendale, AZ 85303-2125
Phone (623) 698-6474

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.Medimpactdirect.com Direct

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

State licenses

LicenseStateTypeSpecialty
T005220AZMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1649900341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 W STATE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032125",
            "telephone_number": "623-698-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 S KYRENE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842115",
            "telephone_number": "800-788-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEY",
        "first_name": "SIOBHAN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "T005220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.Medimpactdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8150 S Kyrene Rd",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852842115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 15, 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.