NPIMap

Organization Active NPI

Big Park Pharmacy LLC

Doing business as sedona compounding pharmacy

  • Compounding Pharmacy
  • Sedona, AZ
National Provider Identifier
1336335058
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
Y02989 Issued in AZ
Legal business name
BIG PARK PHARMACY LLC
Doing business as
sedona compounding pharmacy
Practice address
3150 W State Route 89a Ste 5
Sedona, AZ 86336-4924
Phone
(928) 284-9593
Fax
(928) 284-9605
NPI assigned
Sep 17, 2007
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Gregg Huser, RPHNPI 1679795553
Title
Pharmacist
Phone
(602) 740-0451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Y02989 AZ Primary

Addresses

Primary practice location

3150 W State Route 89a Ste 5
Sedona, AZ 86336-4924

Mailing address

3150 W State Route 89a Ste 5
Sedona, AZ 86336-4924
Phone (928) 284-9593

Other identifiers 1

IdentifierTypeStateIssuer
0323129OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • sedona compounding pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Big Park Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3150 W State Route 89A
Ste 5
Sedona, AZ 86336
Phone (928) 284-9593

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1336335058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 W STATE ROUTE 89A STE 5",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364924",
            "telephone_number": "928-284-9593",
            "fax_number": "928-284-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 W STATE ROUTE 89A STE 5",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364924",
            "telephone_number": "928-284-9593",
            "fax_number": "928-284-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG PARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "HUSER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "602-740-0451",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y02989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0323129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sedona compounding pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.