Jovencio Domingo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

10747 Issued in OR

Practice address

8245 W Thomas Rd
Phoenix, AZ 85033-4722

Phone

(623) 849-1940

NPI assigned

Aug 10, 2011

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Arizona CVS Stores LLC

  dba CVS Pharmacy #03625

  • Pharmacy
  • Phoenix, AZ
  • NPI 1841394731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1922387869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 E TAPATIO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201187",
            "telephone_number": "602-369-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334722",
            "telephone_number": "623-849-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "JOVENCIO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S013244",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "10747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Domer, MD
• Domfeh PLLC
• Nana Yaw Domfeh, MD
• David J Domin, MD
• Courtney R Domingo, WHNP-BC
• Jennifer Dominguez Tapia
• Alexandra Dominguez
• Briana Dominguez
• Cristina Dominguez, LAC
• Dino Raul Dominguez Jr., CRNA

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.