Active NPI
Nicolas De Padova, PHARM.D.
- Oncology Pharmacist
- Gilbert, AZ
National Provider Identifier
1962533943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- S017795
- Practice address
- 2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165 - Phone
- (480) 256-4448
- Fax
- (480) 256-3608
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 11, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | P7038 | ID | |
| Pharmacist | 183500000X | PS37015 | FL | |
| Pharmacist | 183500000X | 17767 | NV | |
| Pharmacist | 183500000X | RPH-0013539 | OR | |
| Oncology Pharmacist | 1835X0200X | S017795 | AZ | Primary |
Addresses
Primary practice location
2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Mailing address
2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-4448
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 |
|---|---|---|---|
| PS37015 | FL | MD | Pharmacist |
| 17767 | NV | MD | Pharmacist |
| RPH-0013539 | OR | MD | Pharmacist |
| S017795 | AZ | MD | Oncology Pharmacist |
| P7038 | ID | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1962533943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 E BANNER GATEWAY DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342165",
"telephone_number": "480-256-4448",
"fax_number": "480-256-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 E BANNER GATEWAY DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342165",
"telephone_number": "480-256-4448",
"fax_number": "480-256-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PADOVA",
"first_name": "NICOLAS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "ID",
"license": "P7038",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37015",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17767",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013539",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "AZ",
"license": "S017795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.