Active NPI
Jackellyn Veronica Reeves
- Pharmacist
- Goodyear, AZ
National Provider Identifier
1669013017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024314
- Practice address
- 9800 S Estrella Pkwy
Goodyear, AZ 85338-7141 - Phone
- (623) 255-3649
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024314 | AZ | Primary |
Addresses
Primary practice location
9800 S Estrella Pkwy
Goodyear, AZ 85338-7141
Mailing address
32359 N 129TH Dr
Peoria, AZ 85383-5079
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
| License | State | Type | Specialty |
|---|---|---|---|
| S024314 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9800 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 255-3439
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Goodyear, AZ
- NPI 1770830341
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1669013017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32359 N 129TH DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853835079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 S ESTRELLA PKWY",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853387141",
"telephone_number": "623-255-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "JACKELLYN",
"middle_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.