Individual provider Active NPI

Ronald Beason, PHARMACIST

  • Pharmacist
  • Sahuarita, AZ
National Provider Identifier
1669885331
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S020508 Issued in AZ
Practice address
48 S Lookout Mountain LN
Sahuarita, AZ 85629-6653
Phone
(520) 300-5820
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S020508 AZ Primary

Addresses

Primary practice location

48 S Lookout Mountain LN
Sahuarita, AZ 85629-6653

Mailing address

48 S Lookout Mountain Lane
Sahuarita, AZ 85629
Phone (520) 648-2847

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
S020508AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1669885331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S LOOKOUT MOUNTAIN LANE",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "85629",
            "telephone_number": "520-648-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S LOOKOUT MOUNTAIN LN",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856296653",
            "telephone_number": "520-300-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASON",
        "first_name": "RONALD",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.