Active NPI
Jennifer Lynn Polansky, PHARM.D.
- Pharmacist
- Glendale, AZ
National Provider Identifier
1780914903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S011752
- Practice address
- 5895 W Peoria Ave
Glendale, AZ 85302-1303 - Phone
- (623) 934-9152
- Fax
- (623) 934-9653
- NPI assigned
- Jan 11, 2010
- Last updated
- Jan 11, 2010
- 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 | S011752 | AZ | Primary |
Addresses
Primary practice location
5895 W Peoria Ave
Glendale, AZ 85302-1303
Mailing address
5895 W Peoria Ave
Glendale, AZ 85302-1303
Phone (623) 934-9152
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 |
|---|---|---|---|
| S011752 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1780914903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5895 W PEORIA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021303",
"telephone_number": "623-934-9152",
"fax_number": "623-934-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5895 W PEORIA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021303",
"telephone_number": "623-934-9152",
"fax_number": "623-934-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANSKY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
- PNC Podiatry of Arizona PC
- Cara Pocano, DDS
- Podiatric Physicians of Arizona, Inc. (Steward Medical Group of Arizona / Podiatry)
- Elizabeth Kathryn Pogge, PHARM.D.
- Georgeann H Polansky, MD
- Polaris Hospice LLC
- Richard W. Poliak III, DOCTORATE
- Lauren Kimberly Poling, D.O.
- Howard Harold Polk, DDS
- Jenee Polk
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.