BGH Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

Y006953 Issued in AZ

Legal business name

BGH PHARMACY

Doing business as

BGH Pharmacy

Practice address

3544 W Glendale Ave Ste E
Phoenix, AZ 85051-8359

Phone

(623) 455-3368

Fax

(623) 243-5314

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

April Al Fatlawi

Title

Pic/Owenr

Phone

(623) 455-3368

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BGH Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1073069860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W GLENDALE AVE",
            "address_2": "SUITE E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518359",
            "telephone_number": "623-455-3368",
            "fax_number": "623-243-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W GLENDALE AVE STE E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518359",
            "telephone_number": "623-455-3368",
            "fax_number": "623-243-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "AL FATLAWI",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PIC/OWENR",
        "authorized_official_telephone_number": "623-455-3368"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y006953",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BGH Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.