NPIMap

Organization Active NPI

Medco at Home LLC

Doing business as Medco Health Solutions of Scottsdale

  • Mail Order Pharmacy
  • Scottsdale, AZ
National Provider Identifier
1225201932
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
Y004924 Issued in AZ
Legal business name
MEDCO AT HOME LLC
Doing business as
Medco Health Solutions of Scottsdale
Practice address
14811 N Kierland Blvd
Ste 100 RM 109
Scottsdale, AZ 85254-2729
Phone
(480) 368-5005
Fax
(480) 368-5040
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Lisa Cannone
Title
Seniordirector, Licensing
Phone
(314) 684-5075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X Y004924 AZ Primary

Addresses

Primary practice location

14811 N Kierland Blvd
Ste 100 RM 109
Scottsdale, AZ 85254-2729

Mailing address

14811 N Kierland Blvd
Ste 100 RM 109
Scottsdale, AZ 85254-2729
Phone (480) 368-5005

Other identifiers 1

IdentifierTypeStateIssuer
0355304OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDCO HEALTH SOLUTIONS OF SCOTTSDALE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1225201932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 N KIERLAND BLVD",
            "address_2": "STE 100 RM 109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542729",
            "telephone_number": "480-368-5005",
            "fax_number": "480-368-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 N KIERLAND BLVD",
            "address_2": "STE 100 RM 109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542729",
            "telephone_number": "480-368-5005",
            "fax_number": "480-368-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "CANNONE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SENIORDIRECTOR, LICENSING",
        "authorized_official_telephone_number": "314-684-5075"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AZ",
            "license": "Y004924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0355304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCO HEALTH SOLUTIONS OF SCOTTSDALE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.