Organization Active NPI

Alchemy Apothecary

Doing business as Alchemy Apothecary, PLLC

  • Family Nurse Practitioner
  • Ash Fork, AZ
National Provider Identifier
1154094779
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALCHEMY APOTHECARY
Doing business as
Alchemy Apothecary, PLLC
Practice address
112 W Park Ave
Ash Fork, AZ 86320
Phone
(855) 277-5901
Fax
(833) 731-0353
NPI assigned
Jul 29, 2021
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Mr. Daniel Knight, FNP-BCNPI 1932173127
Title
Owner, Authorized Official
Phone
(855) 277-5901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

112 W Park Ave
Ash Fork, AZ 86320

Mailing address

419 S 3Rd St
Williams, AZ 86046-2448
Phone (855) 277-5901

Other names 1

  • Alchemy Apothecary, PLLC Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23707/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1154094779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S 3RD ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860462448",
            "telephone_number": "855-277-5901",
            "fax_number": "833-731-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W PARK AVE",
            "city": "ASH FORK",
            "state": "AZ",
            "postal_code": "86320",
            "telephone_number": "855-277-5901",
            "fax_number": "833-731-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "855-277-5901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alchemy Apothecary, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ash Fork, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.