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VICTOR PROVENCIO RPH
NPI 1679649958
Pharmacist in Casa Grande, AZ

Active since November 28, 2006
865 N ARIZOLA RD, CASA GRANDE, AZ 85122(520) 836-3446(520) 836-8807 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victor Provencio Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR PROVENCIO RPH (NPI 1679649958) is an individual pharmacist in Casa Grande, Arizona, licensed in Arizona (6049) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1679649958
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameVICTOR PROVENCIOCredential: RPH
Location Address865 N ARIZOLA RDCasa Grande, AZ 85122-6011
Mailing AddressPo Box 10097Casa Grande, AZ 85130-0020 · (520) 836-3446 · Fax (520) 836-8807
Phone(520) 836-3446
Fax(520) 836-8807
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateNovember 17, 2011
✔ NPI 1679649958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in AZ · 6049
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
865 N ARIZOLA RD, Casa Grande, AZ 85122
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Other Identifiers 1

Other6049AZ · License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SARA ELIZABETH MASSARO NP
Nurse Practitioner (Family)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 836-3446
FAUSTINO ROBLES JR. PHARMD
Pharmacist
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 381-0363
JELENA BULATOVIC
Dentist
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 836-3446
ESSIE HARRELL FNP BC
Nurse Practitioner (Family)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 836-3446
DR. SEAN ONEY DNP, FNP-C
Nurse Practitioner (Family)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (623) 327-4040
NILDA MARIE FIMBRES RN CDCES
Registered Nurse (Diabetes Educator)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 381-0395
DR. TAKISH ZIAD
Dentist (Pediatric Dentistry)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 381-0381
SUN LIFE FAMILY HEALTH CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pinal County (520) 836-3446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Provencio's NPI number?

The NPI number for Victor Provencio is 1679649958. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Victor Provencio located?

Victor Provencio practices at 865 N Arizola Rd, Casa Grande, AZ 85122. The listed phone number is (520) 836-3446.

What is Victor Provencio's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Victor Provencio was last updated on November 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.