Active NPI
Bethany Dinoffria, PHARMD
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1902241326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S012794
- Practice address
- 10665 N Tatum Blvd
Phoenix, AZ 85028-3057 - Phone
- (480) 443-4286
- NPI assigned
- Apr 30, 2013
- Last updated
- Apr 30, 2013
- Sex
- Female
- 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 | S012794 | AZ | Primary |
Addresses
Primary practice location
10665 N Tatum Blvd
Phoenix, AZ 85028-3057
Mailing address
10665 N Tatum Blvd
Phoenix, AZ 85028-3057
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 |
|---|---|---|---|
| S012794 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons 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": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1902241326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10665 N TATUM BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10665 N TATUM BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283057",
"telephone_number": "480-443-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINOFFRIA",
"first_name": "BETHANY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Kel-Sei Dinkins, RBT
- Tashia Dinkins
- Brett Alan Dinner, MD
- Stephanie Dinner, M.A., NCSP
- Carly Dinnin
- Sara Dins
- Jilsy Dinse, LMSW
- Irene Dinublia, LCSW
- Sandra Nicole Dinwiddie, A-GNP
- Diocesan Council of the Society of St. Vincent de Paul Diocese of PHX (St. Vincent de Paul Virginia G. Piper Medical & Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.