Active NPI
Favour Enterprises L.L.C
- Pharmacy
- Phoenix, AZ
National Provider Identifier
1184909707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- Y005425
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357295 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Mercy rexall drugs
National Provider Directory
National Provider DirectoryNPI 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.