NPIMap

Organization Active NPI

CVS 3967

  • Pharmacy
  • Chandler, AZ
National Provider Identifier
1255745816
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CVS 3967
Practice address
3990 W Ray Rd
Chandler, AZ 85226-2478
Phone
(480) 786-3478
Fax
(480) 786-3922
NPI assigned
Jun 11, 2014
Organization subpart
Yes
Parent organization
CVSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mr. Ronald Joseph Sroka
Title
Pharmacy Manager
Phone
(480) 786-3478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3990 W Ray Rd
Chandler, AZ 85226-2478

Mailing address

3990 W Ray Rd
Chandler, AZ 85226-2478
Phone (480) 786-3478

National Provider Directory

National Provider Directory
Tax ID family
Gregory Lee Smith44 organizations share this tax ID, including this one
Part of
Gregory Lee Smith

Other organizations with this tax ID 43

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

View all 43

Locations

3990 W Ray Rd
Chandler, AZ 85226
Phone (480) 786-3478

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1255745816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262478",
            "telephone_number": "480-786-3478",
            "fax_number": "480-786-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262478",
            "telephone_number": "480-786-3478",
            "fax_number": "480-786-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS 3967",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CVS",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "SROKA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "480-786-3478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.