Active NPI
Janine Kauffmann, PHARM D
- Pharmacist
- Prescott Valley, AZ
National Provider Identifier
1740738046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021996
- Practice address
- 7720 East Highway 69
Prescott Valley, AZ 86314 - Phone
- (928) 772-7673
- Fax
- (928) 772-6283
- NPI assigned
- Sep 14, 2016
- Last updated
- Nov 5, 2018
- 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 | S021996 | AZ | Primary |
Addresses
Primary practice location
7720 East Highway 69
Prescott Valley, AZ 86314
Mailing address
6393 E Andover LN
Prescott Valley, AZ 86314-9234
Phone (515) 306-4316
Other practice location 1
6393 E Andover Ln
Prescott Valley, AZ 86314-9234
Phone (515) 306-4316
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 |
|---|---|---|---|
| S021996 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1918 Winter Street Operating Co LLC | Past | Accepting new patients | |
| Safeway 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 Safeway Pharmacy #1055
- Community/Retail Pharmacy
- Prescott Valley, AZ
- NPI 1356112833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1740738046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6393 E ANDOVER LN",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863149234",
"telephone_number": "515-306-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 EAST HIGHWAY 69",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-772-7673",
"fax_number": "928-772-6283"
}
],
"practiceLocations": [
{
"address_1": "6393 E Andover Ln",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863149234",
"country_code": "US",
"telephone_number": "515-306-4316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFFMANN",
"first_name": "JANINE",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.