Organization Active NPI

Roadrunner Pharmacy, Inc

  • Compounding Pharmacy
  • Phoenix, AZ
National Provider Identifier
1073843272
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
ROADRUNNER PHARMACY, INC
Practice address
711 E Carefree Hwy
Suite 140
Phoenix, AZ 85085-0101
Phone
(623) 434-1180
Fax
(623) 434-1181
NPI assigned
Jan 11, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Brandon Hendrickson, PHARMD
Title
Pharmacy Manager
Phone
(623) 434-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

711 E Carefree Hwy
Suite 140
Phoenix, AZ 85085-0101

Mailing address

711 E Carefree Hwy
Suite 140
Phoenix, AZ 85085-0101
Phone (623) 434-1180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1073843272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850101",
            "telephone_number": "623-434-1180",
            "fax_number": "623-434-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850101",
            "telephone_number": "623-434-1180",
            "fax_number": "623-434-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "623-434-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.