Organization Active NPI

White Nile

  • Pharmacy
  • Phoenix, AZ
National Provider Identifier
1366041501
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WHITE NILE
Practice address
4338 W Thomas Rd Unit E5
Phoenix, AZ 85031-3878
Phone
(484) 620-3937
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Mr. Kamal K Saeid, PHARMD
Title
Pharmacist in Charge
Phone
(484) 620-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4338 W Thomas Rd Unit E5
Phoenix, AZ 85031-3878

Mailing address

11034 N 28TH Dr Unit 308
Phoenix, AZ 85029-4380
Phone (484) 620-3937

Other identifiers 1

IdentifierTypeStateIssuer
Y008419OtherAZSTATE BOARD OF PHARMACY

Other names 1

  • Bristol pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4338 W Thomas Rd
Unit E5
Phoenix, AZ 85031
Phone (484) 620-3937

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1366041501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11034 N 28TH DR UNIT 308",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294380",
            "telephone_number": "484-620-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD UNIT E5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "484-620-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE NILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "SAEID",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "484-620-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "Y008419",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bristol pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2021; 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.