Fatima Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y006529 Issued in AZ

Legal business name

FATIMA PHARMACY, LLC

Practice address

66 S Dobson Rd Ste 104
Mesa, AZ 85202-1175

Phone

(480) 512-2188

NPI assigned

Aug 6, 2015

Last updated

Aug 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Huy Vu

Title

Pharmacist in Charge

Phone

(480) 512-2188

Specialties & licenses 1

Addresses

Locations

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.

• Julie Nugyen, PHARMD

  • Pharmacist
  • Phoenix, AZ
  • NPI 1295765576
  NPD

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1164808648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 W GLENMERE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S DOBSON RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021175",
            "telephone_number": "480-512-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "HUY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "480-512-2188"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzin Dentistry PLLC (Destination Dental)
• Manoush Farzin, D.M.D
• Shelley Anne Fassett, LCSW
• Nathaniel Fastenberg, MD
• Fatima Health LLC (Optimal Health Medical Clinic)
• Olubadewa Fatunde, MD
• Dwight Faught, DNP, RN. PMHNP-BC
• William Ernest Faught Jr., SA-C
• Kenzie Fauset, DPT
• Dean C Faust, D.O.

• Community/Retail Pharmacy in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.