Brighton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005468 Issued in AZ

Legal business name

BRIGHTON PHARMACY LLC

Practice address

1403 W 10TH PL Ste 119
Tempe, AZ 85281-5252

Phone

(866) 226-0057

Fax

(888) 789-4573

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey Gubernick

Title

Pic

Phone

(866) 226-0057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brighton Pharmacy, LLC Doing business as

Locations

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1124391479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 W 10TH PL STE 119",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815252",
            "telephone_number": "866-226-0057",
            "fax_number": "888-789-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 W 10TH PL STE 119",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815252",
            "telephone_number": "866-226-0057",
            "fax_number": "888-789-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GUBERNICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "866-226-0057"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Tempe, AZ
• Providers in Tempe, 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 Jul 16, 2014; 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.