Active NPI
Christopher C Duiven, PHARM.D.
- Pharmacist
- Payson, AZ
National Provider Identifier
1891705224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13881
- Practice address
- 807 S Ponderosa St
Pharmacy
Payson, AZ 85541-5542 - Phone
- (928) 472-1253
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13881 | AZ | Primary |
Addresses
Primary practice location
807 S Ponderosa St
Pharmacy
Payson, AZ 85541-5542
Mailing address
PO Box 88
Pinetop, AZ 85935-0088
Phone (928) 369-1326
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 |
|---|---|---|---|
| 13881 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891705224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "PINETOP",
"state": "AZ",
"postal_code": "859350088",
"telephone_number": "928-369-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S PONDEROSA ST",
"address_2": "PHARMACY",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415542",
"telephone_number": "928-472-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUIVEN",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "13881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.