Organization Active NPI

American Premier Pharmacy LLC

  • Long Term Care Pharmacy
  • Phoenix, AZ
National Provider Identifier
1356842181
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
AMERICAN PREMIER PHARMACY LLC
Practice address
11070 N 24TH Ave Ste 150
Phoenix, AZ 85029-4705
Phone
(602) 795-8664
Fax
(602) 795-8665
NPI assigned
Feb 27, 2018
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dr. Guy Simon Fraser Henderson, PHARMD
Title
Ceo
Phone
(602) 795-8664

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

11070 N 24TH Ave Ste 150
Phoenix, AZ 85029-4705

Mailing address

11070 N 24TH Ave Ste 150
Phoenix, AZ 85029-4705
Phone (602) 795-8664

National Provider Directory

National Provider Directory

Locations

11070 N 24th Ave
Ste 150
Phoenix, AZ 85029
Phone (602) 795-8664

4745 N 7th St
Ste 245
Phoenix, AZ 85014

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1356842181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 N 24TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294705",
            "telephone_number": "602-795-8664",
            "fax_number": "602-795-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 N 24TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294705",
            "telephone_number": "602-795-8664",
            "fax_number": "602-795-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PREMIER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "SIMON FRASER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-795-8664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "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 Dec 11, 2023; 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.