West Valley Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y007035 Issued in AZ

Legal business name

WEST VALLEY PHARMACY LLC

Practice address

12851 W Bell Rd
Ste 110
Surprise, AZ 85378-9600

Phone

(623) 533-6514

Fax

(623) 518-2860

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Vera Abramova

Title

Cfo

Phone

(516) 422-8477

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• West Valley Pharmacy LLC Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Quick Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1417270612

  Member Of

  NPD member
• Trustees of Columbia University in the City of New York

  • Durable Medical Equipment & Medical Supplies
  • Bronxville, NY
  • NPI 1396282679

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Ifeoma Igboanugo I, PHARMD.

  • Pharmacist
  • Houston, TX
  • NPI 1619490364
  NPD (past)

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1003244526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12851 W BELL RD",
            "address_2": "STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789600",
            "telephone_number": "623-533-6514",
            "fax_number": "623-518-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 W BELL RD",
            "address_2": "STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789600",
            "telephone_number": "623-533-6514",
            "fax_number": "623-518-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ABRAMOVA",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-422-8477"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH03717",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y007035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886564",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J Wells, PHARM.D.
• Susan Elizabeth Welter, RD
• West River Therapy LLC
• West Valley Dry Eye
• West Valley Medical LLC
• West Valley Smile Co
• West Valley Urgent Care
• R West, PA
• Westside Internal Medicine PC
• Matthew Wetmore, AUD

• Community/Retail Pharmacy in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.