Active NPI
Deanna Luekenga
- Ambulatory Care Pharmacist
- Phoenix, AZ
National Provider Identifier
1801483722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- S023149
- Practice address
- 711 E Indian School Rd
Phoenix, AZ 85014 - Phone
- (602) 266-0273
- NPI assigned
- Dec 26, 2020
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | S023149 | AZ | Primary |
Addresses
Primary practice location
711 E Indian School Rd
Phoenix, AZ 85014
Mailing address
3339 E Cholla St
Phoenix, AZ 85028-2015
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | deannaluekenga@gmail.com | Direct |
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 |
|---|---|---|---|
| S023149 | AZ | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608940800000",
"number": "1801483722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3339 E CHOLLA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E INDIAN SCHOOL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85014",
"telephone_number": "602-266-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEKENGA",
"first_name": "DEANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-26",
"last_updated": "2020-12-26",
"certification_date": "2020-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Ambulatory Care",
"state": "AZ",
"license": "S023149",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "deannaluekenga@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "711 E Indian School Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "85014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.