Organization Active NPI

Favour Enterprises L.L.C

  • Pharmacy
  • Phoenix, AZ
National Provider Identifier
1184909707
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
Y005425 Issued in AZ
Legal business name
FAVOUR ENTERPRISES L.L.C
Practice address
3330 N 2ND St
Phoenix, AZ 85012-2368
Phone
(602) 230-2443
Fax
(602) 274-7739
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Olufemi Omodara
Title
RPH
Phone
(602) 230-2443

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Y005425 AZ Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3330 N 2ND St
Phoenix, AZ 85012-2368

Mailing address

PO Box 5693
Goodyear, AZ 85338-0612
Phone (602) 230-2443

Other identifiers 1

IdentifierTypeStateIssuer
0357295OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Mercy rexall drugs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1184909707",
    "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": "602-230-2443",
            "fax_number": "602-274-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122368",
            "telephone_number": "602-230-2443",
            "fax_number": "602-274-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOUR ENTERPRISES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "OMODARA",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "602-230-2443"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005425",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0357295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy rexall drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2011; 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.