NPIMap

Organization Active NPI

CVS/Caremark

  • Community Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1174934111
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
S019454 Issued in AZ
Legal business name
CVS/CAREMARK
Practice address
1525 N Central Ave
Phoenix, AZ 85004-1646
Phone
(602) 256-2124
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. John Cerni
Title
District Sales Manager
Phone
(630) 921-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X S019454 AZ Primary

Addresses

Primary practice location

1525 N Central Ave
Phoenix, AZ 85004-1646

Mailing address

44 W Monroe St Apt 2105
Phoenix, AZ 85003-4599

National Provider Directory

National Provider Directory

Locations

1525 N Central Ave
Phoenix, AZ 85004
Phone (602) 256-2124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1174934111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W MONROE ST APT 2105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850034599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041646",
            "telephone_number": "602-256-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS/CAREMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "CERNI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DISTRICT SALES MANAGER",
        "authorized_official_telephone_number": "630-921-2345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "S019454",
            "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 May 13, 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.