Active NPI
Robert Squire
- Pharmacist
- Tucson, AZ
National Provider Identifier
1912230566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017322
- Practice address
- 6301 E Baylor Dr
Tucson, AZ 85710-8702 - Phone
- (520) 360-6147
- NPI assigned
- Sep 15, 2009
- Last updated
- Sep 15, 2009
- 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 | S017322 | AZ | Primary |
Addresses
Primary practice location
6301 E Baylor Dr
Tucson, AZ 85710-8702
Mailing address
PO Box 31273
Tucson, AZ 85751-1273
Phone (520) 360-6147
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 |
|---|---|---|---|
| S017322 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1912230566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31273",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511273",
"telephone_number": "520-360-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 E BAYLOR DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857108702",
"telephone_number": "520-360-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRE",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.