NPIMap

Organization Active NPI

DHHS IHS Phoenix Area

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Bylas, AZ
National Provider Identifier
1215062864
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
DHHS IHS PHOENIX AREA
Practice address
101 Medical Drive
Bylas, AZ 85530
Phone
(928) 475-7142
Fax
(928) 475-7377
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
James Cummings, PHARMD
Title
Pharmacy Program Specialist
Phone
(405) 951-6086

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

101 Medical Drive
Bylas, AZ 85530

Mailing address

PHS San Carlos
PO Box 31001-0702
Pasadena, CA 91110-0702

Other identifiers 2

IdentifierTypeStateIssuer
0325755OtherNCPDP PROVIDER IDENTIFICATION NUMBER
163931MedicaidAZ

Other names 1

  • BYLAS IHS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS IHS Phoenix Area5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1215062864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHS SAN CARLOS",
            "address_2": "PO BOX 31001-0702",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DRIVE",
            "city": "BYLAS",
            "state": "AZ",
            "postal_code": "85530",
            "telephone_number": "928-475-7142",
            "fax_number": "928-475-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS IHS PHOENIX AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "405-951-6086",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0325755",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BYLAS IHS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bylas, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.