Pharmatek Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

Y005901 Issued in AZ

Legal business name

PHARMATEK PHARMACY INC

Practice address

10995 N 99TH Ave
Suite 112
Peoria, AZ 85345-5405

Phone

(928) 583-4781

Fax

(877) 513-0770

NPI assigned

Apr 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahvash Kohanbash

Title

President

Phone

(310) 553-6462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1003235144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 REXFORD DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 N 99TH AVE",
            "address_2": "SUITE 112",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455405",
            "telephone_number": "928-583-4781",
            "fax_number": "877-513-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMATEK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "KOHANBASH",
        "authorized_official_first_name": "MAHVASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-553-6462"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "Y005901",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadisha Pfaff, FNP
• Kimberly Thanh Pham
• Tai Pham, PHARMACIST
• Jackie Hang Phan, PHARMACIST
• Thanh Hoang Phan, DDS
• Barrett Phifer, RN
• Sarah Philbee
• Presley Philbrook
• Phoenician Medical Center, Inc
• Phoenix Christian Counseling Associates

• Pharmacy in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.