Active NPI
Maryann Mirzakandov
- Pharmacy
- Phoenix, AZ
National Provider Identifier
1134043110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Practice address
- 1010 E Rosemonte Dr
Phoenix, AZ 85024-2933 - Phone
- (602) 515-6880
- NPI assigned
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1010 E Rosemonte Dr
Phoenix, AZ 85024-2933
Mailing address
1010 E Rosemonte Dr
Phoenix, AZ 85024-2933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1134043110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E ROSEMONTE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850242933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E ROSEMONTE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850242933",
"telephone_number": "602-515-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZAKANDOV",
"first_name": "MARYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-04",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.