Active NPI
Kayla D Hancock, PHARMD
- Pharmacist
- Green Valley, AZ
National Provider Identifier
1811300692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019711
- Practice address
- 240 W Continental Rd
Green Valley, AZ 85622-3555 - Phone
- (520) 625-7286
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 | S019711 | AZ | Primary |
Addresses
Primary practice location
240 W Continental Rd
Green Valley, AZ 85622-3555
Mailing address
156 E Calle del Rondador
Sahuarita, AZ 85629-8766
Phone (614) 586-6261
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 |
|---|---|---|---|
| S019711 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1811300692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 E CALLE DEL RONDADOR",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298766",
"telephone_number": "614-586-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W CONTINENTAL RD",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856223555",
"telephone_number": "520-625-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "KAYLA",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.