Organization Active NPI

Neighborhood Pharmacy LLC

  • Community/Retail Pharmacy
  • Gilbert, AZ
National Provider Identifier
1346566015
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005250 Issued in AZ
Legal business name
NEIGHBORHOOD PHARMACY LLC
Practice address
2571 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-6232
Phone
(480) 507-3393
Fax
(480) 507-3998
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Theresia Moloi, MBA
Title
Owner
Phone
(480) 507-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Y005250 AZ Primary

Addresses

Primary practice location

2571 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-6232

Mailing address

2571 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-6232
Phone (480) 507-3393

Other identifiers 2

IdentifierTypeStateIssuer
517094MedicaidAZ
0356647OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • NEIGHBORHOOD PHARMACY, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2571 S Val Vista Dr
Ste 101
Gilbert, AZ 85295
Phone (480) 507-3393

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1346566015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 S VAL VISTA DR",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956232",
            "telephone_number": "480-507-3393",
            "fax_number": "480-507-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 S VAL VISTA DR",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956232",
            "telephone_number": "480-507-3393",
            "fax_number": "480-507-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "MOLOI",
        "authorized_official_first_name": "THERESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-507-3393",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517094",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0356647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEIGHBORHOOD PHARMACY, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.