Active NPI
Richard Adam Levine, PHARM. D.
- Pharmacist
- Sierra Vista, AZ
National Provider Identifier
1700135134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019391
- Practice address
- 2090 E Fry Blvd
Sierra Vista, AZ 85635-2707 - Phone
- (520) 458-1254
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | S019391 | AZ | Primary |
Addresses
Primary practice location
2090 E Fry Blvd
Sierra Vista, AZ 85635-2707
Mailing address
289 S Highway 92
Apartment #12201
Sierra Vista, AZ 85635-3678
Phone (520) 429-2894
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
| License | State | Type | Specialty |
|---|---|---|---|
| S019391 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1700135134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 S HIGHWAY 92",
"address_2": "APARTMENT #12201",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856353678",
"telephone_number": "520-429-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 E FRY BLVD",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352707",
"telephone_number": "520-458-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "RICHARD",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.