Organization Active NPI

Sun City Pharmacy Inc

  • Community/Retail Pharmacy
  • Peoria, AZ
National Provider Identifier
1285983007
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005538 Issued in AZ
Legal business name
SUN CITY PHARMACY INC
Practice address
9133 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4269
Phone
(623) 322-6664
Fax
(623) 322-6668
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mohamed Hassanein-Elembabi
Title
Pharmacist/Owner
Phone
(623) 760-5572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Y005538 AZ Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

9133 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4269

Mailing address

9133 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4269
Phone (623) 322-6664

Other identifiers 1

IdentifierTypeStateIssuer
2136838OtherPK

Other names 1

  • Sun City Pharmacy Inc 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": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1285983007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814269",
            "telephone_number": "623-322-6664",
            "fax_number": "623-322-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814269",
            "telephone_number": "623-322-6664",
            "fax_number": "623-322-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN-ELEMBABI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "623-760-5572"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005538",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.