Active NPI
Goldstein Pharmaceuticals Services Inc
Doing business as Mack's Pharmacy
- Community/Retail Pharmacy
- Phoenix, AZ
National Provider Identifier
1386655959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- Y002107
- 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, 2011
- 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
- Larry Goldstein
- Title
- Owner
- Phone
- (602) 956-8540
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300567 | Medicaid | AZ | |
| 0305993 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Mack's Pharmacy
National Provider Directory
National Provider DirectoryLocations
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
- Linda Goldrich
- Goldring Dental & Associates, LLC (Brookstone Dental Care)
- Matthew Goldring, DDS
- Ryshika Goldsby
- Goldstein Family Dental LLC (Goldstein Family Dental)
- Aimee Beth Goldstein, PH.D.
- Barbara Goldstein, CO, CFOM
- Beth Ann Goldstein, M.A., CCC-SLP
- Charles Goldstein, MD
- Darryl Goldstein, PHARM-D
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.