Avella of Phoenix II, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005091 Issued in AZ

Legal business name

AVELLA OF PHOENIX II, INC.

Practice address

5040 N 15TH Ave Ste 102
Phoenix, AZ 85015-3329

Phone

(602) 277-3181

Fax

(602) 277-3418

NPI assigned

Jun 17, 2005

Organization subpart

Yes

Parent organization

APOTHECARY HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

John D Musil

Title

Ceo

Phone

(623) 434-3657

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1366447005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 W WHISPERING WIND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850678",
            "telephone_number": "623-434-1700",
            "fax_number": "623-434-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153329",
            "telephone_number": "602-277-3181",
            "fax_number": "602-277-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELLA OF PHOENIX II, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APOTHECARY HOLDINGS, INC.",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MUSIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-434-3657"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005091",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0326466",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630469",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim R Avedovech, DDS
• Aveecare LLC
• Abberdeen Ariam Avelar, MA,BCBA,LBA,SLPA
• Delia Avelar, PSY.D.
• Avella of Phoenix II, Inc
• Maria Avena, MA LPC
• Samantha Rose Avera, MD
• Averra Health LLC
• Averra Homecare LLC
• Daniel Edward Avery, PHARM-D

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.