NPIMap

Organization Active NPI

Fry'S Pharmacy

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1154775989
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
I011747 Issued in AZ
Legal business name
FRY'S PHARMACY
Practice address
2480 N Swan Rd
Tucson, AZ 85712-5701
Phone
(520) 325-4802
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Jaime Vonglahn
Title
Pharmacy Coordinator
Phone
(520) 325-4802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X I011747 AZ Primary

Addresses

Primary practice location

2480 N Swan Rd
Tucson, AZ 85712-5701

Mailing address

2480 N Swan Rd
Tucson, AZ 85712-5701
Phone (520) 325-4802

National Provider Directory

National Provider Directory
Tax ID family
Fry'S Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2480 N Swan Rd
Tucson, AZ 85712
Phone (520) 325-4802

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1154775989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125701",
            "telephone_number": "520-325-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125701",
            "telephone_number": "520-325-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "VONGLAHN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "520-325-4802"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "I011747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.