Active NPI
Mila Villa B Virmond, PHARMD
- Pharmacist
- Goodyear, AZ
National Provider Identifier
1730654856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023575
- Practice address
- 16380 W Yuma Rd
Goodyear, AZ 85338-3100 - Phone
- (623) 925-4442
- NPI assigned
- Oct 4, 2018
- Last updated
- Sep 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20137 | NV | |
| Pharmacist | 183500000X | S023575 | AZ | Primary |
Addresses
Primary practice location
16380 W Yuma Rd
Goodyear, AZ 85338-3100
Mailing address
6954 N 86TH LN
Glendale, AZ 85305-2122
Phone (623) 925-4442
Other practice location 1
1980 McCulloch Blvd N
Lake Havasu City, AZ 86403-0969
Phone (928) 854-8281
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 |
|---|---|---|---|
| S023575 | AZ | MD | Pharmacist |
| 20137 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | 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.
-
dba Frys Food and Drug
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1629392667
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1730654856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6954 N 86TH LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052122",
"telephone_number": "623-925-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16380 W YUMA RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853383100",
"telephone_number": "623-925-4442"
}
],
"practiceLocations": [
{
"address_1": "1980 McCulloch Blvd N",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864030969",
"country_code": "US",
"telephone_number": "928-854-8281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIRMOND",
"first_name": "MILA VILLA",
"middle_name": "B",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20137",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
- VHS Outpatient Clinics, Inc. (Abrazo Orthopedic Specialists Goodyear)
- VHS Outpatient Clinics, Inc. (Abrazo Medical Group)
- Ana Gissela Vidrio Perez
- Natalia Vieth
- Anaid Villa, PT, DPT
- Visions of Hue LLC
- Visionworks Inc (Visionworks)
- Vita Bridge Health LLC
- Vitalis Health Solutions LLC
- Cynthia Vlosic, R.PH., M.B.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.