Active NPI
Kenneth Pariza, RPH
- Pharmacist
- Tucson, AZ
National Provider Identifier
1780949685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S012449
- Practice address
- 5085 N la Canada Dr
Tucson, AZ 85704-1508 - Phone
- (520) 696-0346
- NPI assigned
- Jul 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S012449 | AZ | Primary |
| Pharmacist | 183500000X | 051033351 | IL |
Addresses
Primary practice location
5085 N la Canada Dr
Tucson, AZ 85704-1508
Mailing address
5085 N la Canada Dr
Tucson, AZ 85704-1508
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S012449 | AZ | MD | Pharmacist |
| 051033351 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1336186766
-
- Community/Retail Pharmacy
- Ardmore, OK
- NPI 1134958457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341619200000",
"number": "1780949685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5085 N LA CANADA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5085 N LA CANADA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041508",
"telephone_number": "520-696-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIZA",
"first_name": "KENNETH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-07",
"last_updated": "2012-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012449",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051033351",
"primary": false
}
],
"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 Jul 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.