Sorin Dutu, CAREGIVER

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S026425 Issued in AZ

Practice address

8628 N 7TH Ave
Phoenix, AZ 85021-4571

Phone

(602) 678-2281

Fax

(602) 331-3817

NPI assigned

Feb 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1801480066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8628 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214571",
            "telephone_number": "602-678-2281",
            "fax_number": "602-331-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8628 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214571",
            "telephone_number": "602-678-2281",
            "fax_number": "602-331-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTU",
        "first_name": "SORIN",
        "credential": "CAREGIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL6397H",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S026425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Sue Dutridge, LAC
• Courtney Dutry, DPT
• Elliot Dutton
• Jentry Jania Dutton, SLPA
• Susan Marie Dutton, M.N.S. CCC-SLP
• Jessica Nicole Fong Duty, PMHNP
• Evelyn Jessica Duval, APRN
• DV Anesthesia Group LLC
• DV Pain Ventures LLC
• DV Professional Group LLC

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.