Jenna Vaughn, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022155 Issued in AZ

Practice address

23620 N 20TH Dr
Suite 12
Phoenix, AZ 85085-0621

Phone

(877) 546-5779

Fax

(877) 546-5780

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1669920385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E GREENWAY PKWY",
            "address_2": "APT 2007",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222527",
            "telephone_number": "719-964-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23620 N 20TH DR",
            "address_2": "SUITE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850621",
            "telephone_number": "877-546-5779",
            "fax_number": "877-546-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JENNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHARMACIST LICENSE",
            "identifier": "S022155",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Vaughn, DPT
• Clarissa Vaughn
• Drew Chandler Vaughn, PHARM.D.
• James Vaughn, D.D.S.
• Jeffrey M Vaughn, D.O.
• Jennifer Ann Vaughn, M.D.
• Kyle Vaughn, D.P.M.
• Taylor Vaughn, CGC
• Wesley Vaughn, M.D.
• Vault Admin Services, LLC - Prior Auth

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.