Active NPI
Joseph Kyle Allen, PHARMD
- Pharmacist
- Taylor, AZ
National Provider Identifier
1821564949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023460
- Practice address
- 715 N Main St
Pharmacy
Taylor, AZ 85939 - Phone
- (928) 536-6885
- NPI assigned
- Oct 16, 2018
- Last updated
- Oct 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023460 | AZ | Primary |
Addresses
Primary practice location
715 N Main St
Pharmacy
Taylor, AZ 85939
Mailing address
715 N Main St
Pharmacy
Taylor, AZ 85939
Phone (928) 536-6885
Other practice location 1
3768 Papermill Rd
1614
Taylor, AZ 85939
Phone (480) 294-0939
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 |
|---|---|---|---|
| S023460 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1821564949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N MAIN ST",
"address_2": "PHARMACY",
"city": "TAYLOR",
"state": "AZ",
"postal_code": "85939",
"telephone_number": "928-536-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N MAIN ST",
"address_2": "PHARMACY",
"city": "TAYLOR",
"state": "AZ",
"postal_code": "85939",
"telephone_number": "928-536-6885"
}
],
"practiceLocations": [
{
"address_1": "3768 Papermill Rd",
"address_2": "1614",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "AZ",
"postal_code": "85939",
"country_code": "US",
"telephone_number": "480-294-0939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "JOSEPH",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2022-10-11",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.