Organization Active NPI

Acorn USA Inc

Doing business as Sunwest Pharmacy

  • Specialty Pharmacy
  • Phoenix, AZ
National Provider Identifier
1326093154
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
Y005263 Issued in AZ
Legal business name
ACORN USA INC
Doing business as
Sunwest Pharmacy
Practice address
1300 N 12TH St
Ste 555
Phoenix, AZ 85006-2848
Phone
(602) 595-3555
Fax
(602) 595-3605
NPI assigned
May 23, 2006
Last updated
Mar 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Yuri Eidelman
Title
Ceo
Phone
(602) 595-3555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Y005263 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Ste 555
Phoenix, AZ 85006-2848

Mailing address

1300 N 12TH St
Ste 555
Phoenix, AZ 85006-2848
Phone (602) 595-3555

Other identifiers 2

IdentifierTypeStateIssuer
2125042OtherPK
123626MedicaidAZ

Other names 1

  • Sunwest Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5757 W Thunderbird Rd
Ste W111
Glendale, AZ 85306
Phone (602) 595-3555

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1326093154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "STE 555",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-595-3555",
            "fax_number": "602-595-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "STE 555",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-595-3555",
            "fax_number": "602-595-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "EIDELMAN",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-595-3555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AZ",
            "license": "Y005263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125042",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123626",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunwest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

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