Organization Active NPI

Afc of Phoenix, PLLC

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
National Provider Identifier
1154740348
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
AP5397 Issued in AZ
Legal business name
AFC OF PHOENIX, PLLC
Practice address
2 N Central Ave
Suite 120
Phoenix, AZ 85004-2322
Phone
(602) 296-4060
Fax
(602) 296-4146
NPI assigned
Apr 15, 2014
Organization subpart
Yes
Parent organization
AFC OF PHOENIX, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Lisa M. Pace, N.P.
Title
Medical Director
Phone
(602) 296-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X AP5397 AZ Primary

Addresses

Primary practice location

2 N Central Ave
Suite 120
Phoenix, AZ 85004-2322

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Part of
Afc of Phoenix PLLC

Locations

2 N Central Ave
Ste 120
Phoenix, AZ 85004
Phone (602) 296-4060

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1154740348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N CENTRAL AVE",
            "address_2": "SUITE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042322",
            "telephone_number": "602-296-4060",
            "fax_number": "602-296-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC OF PHOENIX, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFC OF PHOENIX, PLLC",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-296-4060",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": "AP5397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.