Active NPI
Angela Li
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1972274041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0023766
- Practice address
- 1300 N 12TH St
Phoenix, AZ 85006-2848 - Phone
- (602) 839-3927
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- 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 | 0023766 | CO | Primary |
Addresses
Primary practice location
1300 N 12TH St
Phoenix, AZ 85006-2848
Mailing address
2901 N Central Ave
Phoenix, AZ 85012-2700
Phone (602) 747-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angela.li@bannerhealth.com |
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 |
|---|---|---|---|
| 0023766 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1972274041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122700",
"telephone_number": "602-747-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-839-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0023766",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "angela.li@bannerhealth.com",
"affiliation": "N",
"address_1": "1300 N 12th St",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850062848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.