Organization Active NPI

Canaan Capital Management LLC

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1023350451
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005604 Issued in AZ
Legal business name
CANAAN CAPITAL MANAGEMENT LLC
Doing business as
Baywood Pharmacy
Practice address
6641 E Baywood Ave Ste a-1
Mesa, AZ 85206
Phone
(979) 900-6788
NPI assigned
Mar 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Mr. Moky Cheung
Title
Managing Officer
Phone
(480) 830-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Y005604 AZ Primary

Addresses

Primary practice location

6641 E Baywood Ave Ste a-1
Mesa, AZ 85206

Mailing address

6641 E Baywood Ave Ste a-1
Mesa, AZ 85206-1723

Other names 1

  • Baywood Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1023350451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE STE A-1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE STE A-1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "979-900-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAAN CAPITAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-24",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "MOKY",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "480-830-8907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baywood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 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.