Robert John Hernandez

Primary specialty

PharmacistTaxonomy code 183500000X

License

S023466 Issued in AZ

Practice address

14111 N Prasada Gateway Ave
Surprise, AZ 85388-2201

Phone

(623) 282-3208

NPI assigned

Jun 21, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1750942629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12847 N 93RD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814932",
            "telephone_number": "602-486-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 N PRASADA GATEWAY AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882201",
            "telephone_number": "623-282-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walmart",
            "affiliation": "Y",
            "endpointDescription": "retail",
            "affiliationName": "Walmart Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14111 N Prasada Gateway Ave",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853882201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Hermans
• Monique Hernandez Madrid
• Danielle Hernandez
• Gisselle Refugio Hernandez, OD
• Melanie Noel Hernandez, FNP-C
• Sharon K Hernly, RN, MSN, ANP, CGNP
• Lizbeth Herrera
• Lisa Lyn Herrmann, MS OTR L
• Neil Travis Hetzel, MS, LPC
• Rachel Anne Heuel, DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.