NPIMap

Organization Active NPI

Maricopa County Special Health Care District

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1194736769
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y004189 Issued in AZ
Legal business name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Practice address
33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone
(602) 344-6466
Fax
(602) 344-6406
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Anna Sogard
Title
Director of Pharmacy
Phone
(602) 344-5253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y004189 AZ Primary

Addresses

Primary practice location

33 W Tamarisk St
Phoenix, AZ 85041-2422

Mailing address

33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone (602) 344-6466

Other identifiers 2

IdentifierTypeStateIssuer
1997589OtherPK
155813MedicaidAZ

Other names 1

  • VALLEYWISE COMMUNITY HEALTH CENTER - SOUTH PHOENIX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maricopa Integrated Health System23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1194736769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W TAMARISK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412422",
            "telephone_number": "602-344-6466",
            "fax_number": "602-344-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W TAMARISK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412422",
            "telephone_number": "602-344-6466",
            "fax_number": "602-344-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "SOGARD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "602-344-5253"
    },
    "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": "Y004189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997589",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155813",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEYWISE COMMUNITY HEALTH CENTER - SOUTH PHOENIX PHARMACY",
            "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 24, 2019; 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.