Active NPI
Raymond Alan Chavez, PHARM.D
- Pharmacist
- Sun City West, AZ
National Provider Identifier
1770132185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024255
- Practice address
- 19602 N R H Johnson Blvd
Sun City West, AZ 85375-4419 - Phone
- (623) 214-1015
- NPI assigned
- Sep 9, 2019
- Last updated
- Sep 9, 2019
- 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 | S024255 | AZ | Primary |
Addresses
Primary practice location
19602 N R H Johnson Blvd
Sun City West, AZ 85375-4419
Mailing address
1331 E Wickieup LN
Phoenix, AZ 85024-1797
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 |
|---|---|---|---|
| S024255 | 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": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1770132185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 E WICKIEUP LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19602 N R H JOHNSON BLVD",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853754419",
"telephone_number": "623-214-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "RAYMOND",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.