Organization Active NPI

Nugenerex Paz1 LLC

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1144797515
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Oct 24, 2018

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)CodeLicenseStatePrimary
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 Doing business as
  • NuGenerex RX Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.