Payson Apothecary Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y004258 Issued in AZ

Legal business name

PAYSON APOTHECARY PHARMACY LLC

Practice address

201 W Main St
Suite D
Payson, AZ 85541-5441

Phone

(928) 468-8299

Fax

(928) 468-8322

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Craig Mathews

Title

Owner

Phone

(928) 468-8299

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PAYSON APOTHECARY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1285645853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415441",
            "telephone_number": "928-468-8299",
            "fax_number": "928-468-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415441",
            "telephone_number": "928-468-8299",
            "fax_number": "928-468-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON APOTHECARY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-468-8299"
    },
    "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": "Y004258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0326137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946014",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAYSON APOTHECARY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Rae Parker, PA-C
• Patrick Padrnos O.D. P.C.
• Paul Christian Alexander
• Paul T Yoder MD PLLC
• Cynthia Erin Pawlicki
• Payson Chiropractic LLC
• Payson Dental Care PC
• Payson Emergency Physicians, P.C.
• Payson Eye Care Center
• Payson Healthcare Management Inc

• Community/Retail Pharmacy in Payson, AZ
• Providers in Payson, 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 Dec 13, 2012; 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.