Arizona Senior Care Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y03621 Issued in AZ

Legal business name

ARIZONA SENIOR CARE PHARMACY INC

Doing business as

Arizona Senior Care Pharmacy Inc

Practice address

2727 W Baseline Rd
Ste 1
Tempe, AZ 85283-1067

Phone

(602) 438-9301

Fax

(602) 438-9388

NPI assigned

Nov 7, 2005

Last updated

Sep 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Mason, RPH

Title

Co Owner Pres

Phone

(602) 438-9301

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ARIZONA SENIOR CARE PHARMACY INC Doing business as

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1104807296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8156",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852468156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD",
            "address_2": "STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831067",
            "telephone_number": "602-438-9301",
            "fax_number": "602-438-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SENIOR CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO OWNER PRES",
        "authorized_official_telephone_number": "602-438-9301",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y03621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708810",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARIZONA SENIOR CARE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.