Active NPI
Jennie M Dotson, PHARMD
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1770868002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S014936
- Practice address
- 3130 W Carefree Hwy
Phoenix, AZ 85086-3200 - Phone
- (623) 582-8073
- Fax
- (623) 582-8074
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- 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 | S014936 | AZ | Primary |
Addresses
Primary practice location
3130 W Carefree Hwy
Phoenix, AZ 85086-3200
Mailing address
3130 W Carefree Hwy
Phoenix, AZ 85086-3200
Phone (623) 582-8073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S014936 | Other | AZ | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| S014936 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1770868002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 W CAREFREE HWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850863200",
"telephone_number": "623-582-8073",
"fax_number": "623-582-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 W CAREFREE HWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850863200",
"telephone_number": "623-582-8073",
"fax_number": "623-582-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "JENNIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S014936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "S014936",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.