Verde Valley Medical Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y007202 Issued in AZ

Legal business name

VERDE VALLEY MEDICAL CENTER

Practice address

269 S Candy LN
Cottonwood, AZ 86326-4158

Phone

(928) 639-6266

NPI assigned

Aug 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert Cofield

Title

Chief Operating Officer

Phone

(928) 773-2010

Specialties & licenses 2

Addresses

Other names 1

• Verde Valley Medical Center Retail Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648

  7719898204

  Same PAC ID

Tax ID family

VVMC Anesthesia Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD tax ID
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Sedona, AZ
  • NPI 1538608716
  NPD tax ID

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1235654336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264158",
            "telephone_number": "928-639-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "COFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "928-773-2010",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Y007202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verde Valley Medical Center Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Verde Valley Fire District
• Verde Valley Foot and Ankle Center, LLC
• Verde Valley Functional Wellness Center & Medicinal Apothecary PLLC
• Verde Valley Heart Center
• Verde Valley Heart, LLC
• Verde Valley Medical Center
• Verde Valley Occupational Therapy LLC
• Verde Valley Orthopedics PC
• Verde Valley Sedona Advanced Imaging Diagnostics LLC
• Verde Valley Urgent Care and Occupational Medicine, PLC

• Community/Retail Pharmacy in Cottonwood, AZ
• Providers in Cottonwood, 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 Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.