Active NPI
Maurice Shervette Washington
- Pharmacist
- Tucson, AZ
National Provider Identifier
1780088807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020915
- Practice address
- 3925 E Grant Rd
Tucson, AZ 85712-2506 - Phone
- (520) 327-9555
- NPI assigned
- Oct 17, 2014
- Last updated
- Oct 17, 2014
- 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 | S020915 | AZ | Primary |
Addresses
Primary practice location
3925 E Grant Rd
Tucson, AZ 85712-2506
Mailing address
4234 E Shadow Branch Dr
Tucson, AZ 85756-3094
Phone (239) 671-5026
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 |
|---|---|---|---|
| S020915 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1780088807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 E SHADOW BRANCH DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857563094",
"telephone_number": "239-671-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122506",
"telephone_number": "520-327-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "MAURICE",
"middle_name": "SHERVETTE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.