Western Regional Medical Center Inc. Hospital Pharmacy

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

Y005026 Issued in AZ

Legal business name

WESTERN REGIONAL MEDICAL CENTER INC. HOSPITAL PHARMACY

Practice address

12725 W Indian School Rd Ste C105
Avondale, AZ 85392-9523

Phone

(602) 810-0771

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Krystal L Hicks, PHARM D

Title

Director of Pharmacy

Phone

(602) 810-0771

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Nixon, MD

  • Hematology & Oncology Physician
  • Goodyear, AZ
  • NPI 1306880331
  NPD (past)
• Michael Stuart Putland, M.D.

  • Adult Medicine Physician
  • Goodyear, AZ
  • NPI 1679576615
  NPD (past)
• Joel Granick, MD

  • Specialist
  • Chicago, IL
  • NPI 1700864378
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1124278882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 W. FILLMORE ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE C105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929523",
            "telephone_number": "602-810-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REGIONAL MEDICAL CENTER INC. HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "602-810-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "Y005026",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AZ",
            "license": "Y005026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Valley Otc LLC
• West Valley Pediatrics, P.C.
• West Valley Pediatrics, P.C.
• West Valley Primary Care Clinic LLC
• Promise West
• Simone Weston
• Westview Family Medicine
• Westview Family Medicine, P.C.
• Heather Wheeler, LCSW
• Teena White, LPC

• Institutional Pharmacy in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Institutional Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.