Active NPI
Faris Abed Bodagh, PHARM D
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1346105376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S027771
- Practice address
- 6145 N 35TH Ave
Phoenix, AZ 85017-1940 - Phone
- (602) 973-6561
- NPI assigned
- Dec 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S027771 | AZ | Primary |
Addresses
Primary practice location
6145 N 35TH Ave
Phoenix, AZ 85017-1940
Mailing address
6145 N 35TH Ave
Phoenix, AZ 85017-1940
Phone (602) 973-6561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S027771 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1346105376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 N 35TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850171940",
"telephone_number": "602-973-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6145 N 35TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850171940",
"telephone_number": "602-973-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODAGH",
"first_name": "FARIS",
"middle_name": "ABED",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-22",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S027771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.