IndividualActive
Victor Provencio, RPH
NPI 1679649958 · Pharmacist · Casa Grande, AZ
Victor Provencio, RPH is a Pharmacist provider in Casa Grande, AZ (NPI 1679649958).
Provider details
- NPI number
- 1679649958
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 6049 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Phone: (520) 836-3446
Fax: (520) 836-8807
Street-level locationGet directions
Mailing address
Po Box 10097
Casa Grande, AZ 85130-0020
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2011-11-17
Frequently asked questions
- What is Victor Provencio's NPI number?
- Victor Provencio's National Provider Identifier (NPI) is 1679649958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Victor Provencio's specialty?
- Victor Provencio is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Victor Provencio located?
- Victor Provencio's practice location on file with NPPES is 865 N Arizola Rd, Casa Grande, AZ 85122-6011.
- What is Victor Provencio's phone number?
- The practice phone number listed in the NPPES registry for Victor Provencio is (520) 836-3446.
- Is Victor Provencio's NPI active?
- Yes — Victor Provencio's NPI (1679649958) is active in the NPPES registry as of the last update on 2011-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.