John Patinella, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024668 Issued in AZ

Practice address

3434 W Southern Ave
Phoenix, AZ 85041-4306

Phone

(602) 283-2071

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #10111

  • Pharmacy
  • Phoenix, AZ
  • NPI 1316138225
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1790303147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 W KRALL ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853033305",
            "telephone_number": "623-882-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414306",
            "telephone_number": "602-283-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINELLA",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patientcare, Inc.
• Smita Patil Mehta, MD
• Avinash Shivaputrappa Patil, MD
• Chetan Shyam Patil, DDS
• Saurabh Patil
• Breanna Patino
• Patricia a Dietzgen DO LLC
• Patricia Davis
• Patricia Dianne Johnson, PH.D., P.C.
• Patricia E. Thorpe, MD, PC

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.