Organization Active NPI

Quick Pharmacy 002 LLC

Doing business as Quick Pharmacy

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1346585411
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005547 Issued in AZ
Legal business name
QUICK PHARMACY 002 LLC
Doing business as
Quick Pharmacy
Practice address
1105 N Mesa Dr
Mesa, AZ 85201-3502
Phone
(602) 264-9000
NPI assigned
Nov 30, 2012
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Mahmoud Rifai
Title
Owner
Phone
(937) 389-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y005547 AZ Primary

Addresses

Primary practice location

1105 N Mesa Dr
Mesa, AZ 85201-3502

Mailing address

1105 N Mesa Dr
Mesa, AZ 85201-3502
Phone (602) 264-9000

Other identifiers 1

IdentifierTypeStateIssuer
0357764OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • QUICK PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1105 N Mesa Dr
Mesa, AZ 85201
Phone (602) 264-9000

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1346585411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013502",
            "telephone_number": "602-264-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013502",
            "telephone_number": "602-264-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK PHARMACY 002 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-389-0000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0357764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUICK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.