Active NPI
Jack McEwen
- Pharmacist
- Oro Valley, AZ
National Provider Identifier
1760656086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5480
- Practice address
- 10405 N la Canada Dr
Oro Valley, AZ 85737-6945 - Phone
- (520) 297-4675
- NPI assigned
- Apr 17, 2008
- Last updated
- Apr 17, 2008
- 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 | 5480 | AZ | Primary |
Addresses
Primary practice location
10405 N la Canada Dr
Oro Valley, AZ 85737-6945
Mailing address
3740 E Nugget Canyon PL
Tucson, AZ 85718-2341
Phone (520) 529-7322
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5480 | AZ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1760656086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 E NUGGET CANYON PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857182341",
"telephone_number": "520-529-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10405 N LA CANADA DR",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857376945",
"telephone_number": "520-297-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "JACK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "5480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.