Sedona Grocery, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y007278 Issued in AZ

Legal business name

SEDONA GROCERY, LLC

Doing business as

Clark's Market Pharmacy

Practice address

100 Verde Valley School Rd
Sedona, AZ 86351

Phone

(928) 284-2202

Fax

(928) 284-3776

NPI assigned

Aug 22, 2006

Last updated

Nov 17, 2020By 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

Mr. Michael Jeffrey Franklin, PHARMDNPI 1811265432

Title

Pharmacist in Charge

Phone

(928) 284-2202

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Clark's Market Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Michael Jeffrey Franklin, PHARMD

  • Pharmacist
  • Williams, AZ
  • NPI 1811265432
  NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1114033107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S. MAIN STREET",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "84511",
            "telephone_number": "970-925-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VERDE VALLEY SCHOOL RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "86351",
            "telephone_number": "928-284-2202",
            "fax_number": "928-284-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA GROCERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "928-284-2202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "2914",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y007278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420852",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark's Market Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sedona Fire District
• Sedona Hyperbarics and Wound Care
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• Sedona Medical Consultants
• Sedona Mobile PT
• Sedona Physical Therapy, LLC (Lebec Physical Therapy)

• Community/Retail Pharmacy in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.