Active NPI
Nugenerex Paz1 LLC
- Community/Retail Pharmacy
- Mesa, AZ
National Provider Identifier
1144797515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NUGENEREX PAZ1 LLC
- Practice address
- 6641 E Baywood Ave Ste A1
Mesa, AZ 85206-1723 - Phone
- (480) 830-8907
- NPI assigned
- Oct 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Crisci
- Title
- Officer
- Phone
- (914) 527-1183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6641 E Baywood Ave Ste A1
Mesa, AZ 85206-1723
Mailing address
39 Russett Rd
Sandy Hook, CT 06482-1432
Other names 2
- NuGenerex RS
- NuGenerex RX
National Provider Directory
National Provider DirectoryLocations
6641 E Baywood Ave
Ste A1
Mesa, AZ 85206
Phone (480) 830-8907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540339200000",
"number": "1144797515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 RUSSETT RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6641 E BAYWOOD AVE STE A1",
"city": "MESA",
"state": "AZ",
"postal_code": "852061723",
"telephone_number": "480-830-8907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUGENEREX PAZ1 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A",
"authorized_official_last_name": "CRISCI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "914-527-1183",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NuGenerex RS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NuGenerex RX",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.