Oediv Corp.

Primary specialty

PharmacyTaxonomy code 333600000X

License

3622 Issued in AZ

Legal business name

OEDIV CORP.

Practice address

5007 N Central Ave
Phoenix, AZ 85012-1520

Phone

(602) 274-9956

Fax

(602) 241-0104

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary Gilbert

Title

President

Phone

(602) 274-9956

Specialties & licenses 1

Addresses

Other names 1

• Uptown Pharmacy Doing business as

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407064074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121520",
            "telephone_number": "602-274-9956",
            "fax_number": "602-241-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121520",
            "telephone_number": "602-274-9956",
            "fax_number": "602-241-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OEDIV CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-274-9956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Odorcic
• Lauren Odorisi
• Ruth W. Oduori, M.ED.
• Adeoluwayimika Eremipo Odusi, M.D.
• Odyssey Healthcare Operating a LP
• Kaitlyn Oelkers, MD
• Jennifer Oelschlager
• Ryan C Oeltgen, MD
• Stephanie Oen
• April Oertle, MD

• Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.