Central Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y006673 Issued in AZ

Legal business name

CENTRAL PHARMACY INC

Doing business as

St Joseph Pharmacy

Practice address

333 W Thomas Rd Ste 102
Phoenix, AZ 85013-4401

Phone

(480) 444-6612

Fax

(480) 371-2757

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Mohamed Eslam Elmissirey, RPH

Title

Owner,Cfo, Pic, Ao

Phone

(480) 444-6612

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• St Joseph Pharmacy Doing business as

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1194198374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134401",
            "telephone_number": "480-444-6612",
            "fax_number": "480-371-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134401",
            "telephone_number": "480-444-6612",
            "fax_number": "480-371-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ELMISSIREY",
        "authorized_official_first_name": "MOHAMED ESLAM",
        "authorized_official_title_or_position": "OWNER,CFO, PIC, AO",
        "authorized_official_telephone_number": "480-444-6612",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08433",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Home Health Services Inc.
• Central Home Health Services Inc.
• Central Medical Group PLLC
• Central Medical Laboratory, Inc.
• Central Neurology LLC
• Central Phoenix Az Caregiving LLC (Cornerstone Caregiving)
• Central Phoenix Eye Care, PLLC (Central Phoenix Eye Care)
• Central Phoenix Family Medicine PLC
• Central Phoenix Internists, PLLC
• Central Phoenix Medical Clinic LLC

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, 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 Oct 20, 2016; 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.