Avella of Grayhawk, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005092 Issued in AZ

Legal business name

AVELLA OF GRAYHAWK, INC.

Practice address

7336 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255-7455

Phone

(480) 538-0699

Fax

(480) 538-0795

NPI assigned

Jun 17, 2005

Organization subpart

Yes

Parent organization

APOTHECARY HOLDINGS INCAs 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 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1376548016",
    "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": "623-434-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 E DEER VALLEY RD",
            "address_2": "STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557455",
            "telephone_number": "480-538-0699",
            "fax_number": "480-538-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELLA OF GRAYHAWK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APOTHECARY HOLDINGS INC",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-04-30",
        "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": "Y005092",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "0324967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557952",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avalon Care Center - Scottsdale, LLC
• Cecilia Avalos, CPNP
• Leslie Crawford Avant, MD
• Avd Healthcare LLC
• Jason Avelar, D.C.
• Tanya Averill, D.C.
• Richard L Averitte Jr., MD
• Avery Investments of Mesa LLC
• Avery Investments of Phoenix, LLC
• Avery Investments of Scottsdale Corp

• Community/Retail Pharmacy in Scottsdale, AZ
• Providers in Scottsdale, 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 Apr 30, 2013; 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.