Mayo Clinic Arizona

Key facts

NPI

1134190093

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Legal business name

MAYO CLINIC ARIZONA

Practice address

13400 E Shea Blvd
Scottsdale, AZ 85259-5404

Phone

(480) 301-8000

NPI assigned

Jan 30, 2006

Reactivated

Sep 11, 2012

Organization subpart

No

Authorized official

Name

Jeffrey Jackson

Title

Cfo

Phone

(480) 574-3055

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies · Scottsdale, AZ · NPI 1255302113
  Same enrollment O20040210000553
• Mayo Clinic Arizona Ambulatory Surgical Clinic/Center · Scottsdale, AZ · NPI 1427029396
  Same enrollment O20040210000553

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other names

• Mayo Pharmacy Scottsdale Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2026.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1134190093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595404",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595404",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "deactivation_date": "2012-01-06",
        "reactivation_date": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-574-3055"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "2856",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AZ",
            "license": "2856",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Pharmacy Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

• Sheri Mayes, LDO
• Bethany Joye Mayle, APRN
• Maynard Chiropractic & Wellness Center Inc
• Annette Maynard
• Curtis P Maynard, DC MUAC
• Mayo Clinic Arizona
• Mayo Clinic Arizona
• Mayo Clinic Arizona
• Mayo Clinic Arizona
• Mayo Pharmacy Scottsdale IV

All providers in Scottsdale, AZ · Community/Retail Pharmacy in Arizona