Organization Active NPI

Frys

  • Health Maintenance Organization
  • Tolleson, AZ
National Provider Identifier
1194153148
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
S020208 Issued in AZ
Legal business name
FRYS
Practice address
500 S 99TH Ave
Tolleson, AZ 85353-9700
Phone
(520) 458-0997
Fax
(520) 458-5849
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Lyle Green Trone, PHARMD
Title
Pharmacist
Phone
(520) 458-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X S020208 AZ Primary

Addresses

Primary practice location

500 S 99TH Ave
Tolleson, AZ 85353-9700

Mailing address

500 S 99TH Ave
Tolleson, AZ 85353-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1194153148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 99TH AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 99TH AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539700",
            "telephone_number": "520-458-0997",
            "fax_number": "520-458-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "TRONE",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "520-458-0997",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "S020208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.