Apothecary Shop of Phoenix, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005087 Issued in AZ

Legal business name

APOTHECARY SHOP OF PHOENIX, INC

Doing business as

Apothecary Shop of Phoenix, INC

Practice address

1701 E Thomas Rd Ste 203
Phoenix, AZ 85016-7674

Phone

(602) 252-6120

Fax

(602) 252-6127

NPI assigned

Oct 21, 2005

Last updated

Feb 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Musil

Title

Director/Ceo

Phone

(623) 434-3657

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Apothecary Shop of Phoenix, INC Doing business as

Locations

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1003806050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 W WHISPERING WIND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850678",
            "telephone_number": "623-434-3659",
            "fax_number": "623-434-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167674",
            "telephone_number": "602-252-6120",
            "fax_number": "602-252-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOP OF PHOENIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "MUSIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "623-434-3657"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005087",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474601",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0320212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary Shop of Phoenix, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Anne Apolinar, DNP,FNP,BSN
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• Brian Leonard Appavu, M.D.
• Christiane Appel
• Katherine Appelbe, OTD, OTR/L
• Glenn C. Appell, D.C.
• Jacquelyn Appell, SLP

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, 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 Feb 7, 2011; 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.