Active NPI
Alchemy Apothecary
Doing business as Alchemy Apothecary, PLLC
- Family Nurse Practitioner
- Ash Fork, AZ
National Provider Identifier
1154094779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2022
- 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. Daniel Knight, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Family Nurse Practitioner
- Ash Fork, AZ
- NPI 1932173127
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.