Active NPI
Cyrus Brooks Elliott, RPH.
- Pharmacist
- Sedona, AZ
National Provider Identifier
1043512353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017508
- Practice address
- 2300 W Highway 89a
Sedona, AZ 86336-5344 - Phone
- (928) 282-1712
- NPI assigned
- Nov 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S017508 | AZ | Primary |
Addresses
Primary practice location
2300 W Highway 89a
Sedona, AZ 86336-5344
Mailing address
60 Bell Creek Way
Sedona, AZ 86351-6965
Phone (928) 284-1007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S017508 | Other | AZ | PHARMACIST LIC. # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S017508 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1043512353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BELL CREEK WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863516965",
"telephone_number": "928-284-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W HIGHWAY 89A",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365344",
"telephone_number": "928-282-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "CYRUS",
"middle_name": "BROOKS",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-19",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LIC. #",
"identifier": "S017508",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sedona, AZ
- Robert John Dorsey, RPH
- Patricia Maureen Dummigan White, MA
- Emily Brozyna Durfee, MA
- Fernanda Durlene, DAOM, LAC
- Easton Counseling, PLLC
- Emergency Medicine Physicians of Yavapai County, PLLC
- Emergency Physicians Medical Group, Inc
- Jennifer Lynn Emmerich, LMSW
- ER Village Clinic
- Kenneth Andrii Ervin-Beckford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.