Organization Active NPI

Docrx Dispense, Inc.

  • Non-Pharmacy Dispensing Site
  • Mesa, AZ
National Provider Identifier
1013336635
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DOCRX DISPENSE, INC.
Practice address
3544 E Southern Ave
No. 104 Unit 121
Mesa, AZ 85204-5672
Phone
(480) 367-5495
Fax
(480) 367-5497
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Martin Olson
Title
President
Phone
(480) 367-5495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3544 E Southern Ave
No. 104 Unit 121
Mesa, AZ 85204-5672

Mailing address

3544 E Southern Ave
No. 104 Unit 121
Mesa, AZ 85204-5672
Phone (480) 367-5495

National Provider Directory

National Provider Directory

Locations

3544 E Southern Ave
Ste 104
Mesa, AZ 85204
Phone (480) 367-5495

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1013336635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 E SOUTHERN AVE",
            "address_2": "NO. 104 UNIT 121",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045672",
            "telephone_number": "480-367-5495",
            "fax_number": "480-367-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 E SOUTHERN AVE",
            "address_2": "NO. 104 UNIT 121",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045672",
            "telephone_number": "480-367-5495",
            "fax_number": "480-367-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCRX DISPENSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-367-5495"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.