Harbor Vista

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4318 Issued in AZ

Legal business name

HARBOR VISTA

Practice address

9133 W Thunderbird
#102
Peoria, AZ 85381

Phone

(602) 277-5444

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Femi Omodara

Title

Bpharm

Phone

(602) 277-5444

Specialties & licenses 1

Addresses

Other names 1

• HARBOR VISTA Doing business as

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1184842718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5693",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380612",
            "telephone_number": "602-277-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 W THUNDERBIRD",
            "address_2": "#102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "602-277-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "OMODARA",
        "authorized_official_first_name": "FEMI",
        "authorized_official_title_or_position": "BPHARM",
        "authorized_official_telephone_number": "602-277-5444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBOR VISTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Peoria, AZ
• Providers in Peoria, 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 Sep 24, 2009; 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.