Active NPI
Darryl A Dehart, RPH
- Pharmacist
- Prescott Valley, AZ
National Provider Identifier
1891965794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S007423
- Practice address
- 2880 N Centre CT
Suite 6
Prescott Valley, AZ 86314-1203 - Phone
- (928) 772-4938
- NPI assigned
- Mar 6, 2008
- 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 | S007423 | AZ | Primary |
Addresses
Primary practice location
2880 N Centre CT
Suite 6
Prescott Valley, AZ 86314-1203
Mailing address
2880 N Centre CT
Suite 6
Prescott Valley, AZ 86314-1203
Phone (928) 772-4938
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S007423 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1891965794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 N CENTRE CT",
"address_2": "SUITE 6",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141203",
"telephone_number": "928-772-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 N CENTRE CT",
"address_2": "SUITE 6",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141203",
"telephone_number": "928-772-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHART",
"first_name": "DARRYL",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-06",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S007423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.