Active NPI
White Nile
- Pharmacy
- Phoenix, AZ
National Provider Identifier
1366041501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y008419 | Other | AZ | STATE BOARD OF PHARMACY |
Other names 1
- Bristol pharmacy
National Provider Directory
National Provider DirectoryLocations
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.