Organization Active NPI

Caremark Arizona Specialty Pharmacy, LLC

  • Pharmacy
  • Chandler, AZ
National Provider Identifier
1396100012
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CAREMARK ARIZONA SPECIALTY PHARMACY, LLC
Practice address
2700 W Frye Rd
Chandler, AZ 85224-4950
Phone
(480) 899-4408
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Mark Proulx
Title
Senior Vice President
Phone
(909) 799-4061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2700 W Frye Rd
Chandler, AZ 85224-4950

Mailing address

PO Box 840688
Dallas, TX 75284-0688
Phone (480) 899-4408

National Provider Directory

National Provider Directory

Locations

2700 W Frye Rd
Chandler, AZ 85224
Phone (480) 899-4408

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1396100012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840688",
            "telephone_number": "480-899-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244950",
            "telephone_number": "480-899-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMARK ARIZONA SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "PROULX",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "909-799-4061"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.