Provider Demographics
NPI:1730481706
Name:KARP, JEFFREY K (PHARMD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:K
Last Name:KARP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23620 N 20TH DR
Mailing Address - Street 2:STE 12
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-0621
Mailing Address - Country:US
Mailing Address - Phone:623-434-3667
Mailing Address - Fax:866-792-7684
Practice Address - Street 1:23620 N 20TH DR
Practice Address - Street 2:STE 12
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-0621
Practice Address - Country:US
Practice Address - Phone:623-434-3667
Practice Address - Fax:866-792-7684
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS011009183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist