Organization Active NPI

Goldstein Pharmaceuticals Services Inc

Doing business as Mack's Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1386655959
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y002107 Issued in AZ
Legal business name
GOLDSTEIN PHARMACEUTICALS SERVICES INC
Doing business as
Mack's Pharmacy
Practice address
3628 E Thomas Rd
Phoenix, AZ 85018-7502
Phone
(602) 956-8540
Fax
(602) 957-0291
NPI assigned
Aug 10, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Larry Goldstein
Title
Owner
Phone
(602) 956-8540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X Y002107 AZ Primary

Addresses

Primary practice location

3628 E Thomas Rd
Phoenix, AZ 85018-7502

Mailing address

PO Box 80555
Phoenix, AZ 85060-0555
Phone (602) 956-8540

Other identifiers 2

IdentifierTypeStateIssuer
300567MedicaidAZ
0305993OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Mack's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3628 E Thomas Rd
Phoenix, AZ 85018
Phone (602) 956-8540

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1386655959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80555",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600555",
            "telephone_number": "602-956-8540",
            "fax_number": "602-956-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187502",
            "telephone_number": "602-956-8540",
            "fax_number": "602-957-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTEIN PHARMACEUTICALS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-956-8540"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y002107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300567",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0305993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mack's 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 Sep 13, 2011; 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.