Active NPI
Jaimie Mai
- Pharmacist
- Glendale, AZ
National Provider Identifier
1891406757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026187
- Practice address
- 10404 N 43Rd Ave
Glendale, AZ 85302-2019 - Phone
- (602) 748-6661
- NPI assigned
- Dec 12, 2022
- 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 | S026187 | AZ | Primary |
Addresses
Primary practice location
10404 N 43Rd Ave
Glendale, AZ 85302-2019
Mailing address
10404 N 43Rd Ave
Glendale, AZ 85302-2019
Phone (602) 748-6661
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Unknown | Other |
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 |
|---|---|---|---|
| S026187 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1891406757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10404 N 43RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022019",
"telephone_number": "602-748-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10404 N 43RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022019",
"telephone_number": "602-748-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "JAIMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026187",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Unknown",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Unknown",
"address_1": "10404 N 43rd Ave",
"city": "Glendale",
"state": "AZ",
"country_code": "US",
"postal_code": "853022019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.