Organization Active NPI

Afc of Avondale, PLLC

  • Non-Pharmacy Dispensing Site
  • Avondale, AZ
National Provider Identifier
1043657638
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
AFC OF AVONDALE, PLLC
Practice address
210 N Avondale Blvd
Suite 100
Avondale, AZ 85323-6905
Phone
(623) 882-0600
NPI assigned
May 23, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
AFC OF AVONDALE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Jennifer E. Hill, NP
Title
Medical Director
Phone
(623) 882-0600

Specialties & licenses 1

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

Addresses

Primary practice location

210 N Avondale Blvd
Suite 100
Avondale, AZ 85323-6905

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Part of
Afc of Avondale PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1043657638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N AVONDALE BLVD",
            "address_2": "SUITE 100",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236905",
            "telephone_number": "623-882-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC OF AVONDALE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFC OF AVONDALE, PLLC",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-882-0600",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.