Active NPI
Duann McIlvain, PHARM.D.
- Pharmacist
- Glendale, AZ
National Provider Identifier
1770911364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12722
- Practice address
- 4720 W Palo Verde Ave
Glendale, AZ 85302-3633 - Phone
- (623) 748-3556
- NPI assigned
- Oct 17, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S016532 | AZ | |
| Pharmacist | 183500000X | 12722 | OK | Primary |
| Pharmacist | 183500000X | 39165 | TX |
Addresses
Primary practice location
4720 W Palo Verde Ave
Glendale, AZ 85302-3633
Mailing address
4720 W Palo Verde Ave
Glendale, AZ 85302-3633
Phone (623) 748-3556
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 |
|---|---|---|---|
| S016532 | AZ | MD | Pharmacist |
| 12722 | OK | MD | Pharmacist |
| 39165 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1770911364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 W PALO VERDE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023633",
"telephone_number": "623-748-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 W PALO VERDE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023633",
"telephone_number": "623-748-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCILVAIN",
"first_name": "DUANN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016532",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12722",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.