Mohave Pharmacy L.L.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005643 Issued in AZ

Legal business name

MOHAVE PHARMACY L.L.C.

Practice address

5225 S Highway 95 Ste 9
Fort Mohave, AZ 86426-9111

Phone

(928) 768-3356

NPI assigned

May 13, 2013

Last updated

May 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ernst M Kruger

Title

Pharmacist in Charge

Phone

(928) 234-5522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1407292816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S HIGHWAY 95 STE 9",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S HIGHWAY 95 STE 9",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269111",
            "telephone_number": "928-768-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE PHARMACY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "ERNST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "928-234-5522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Valpiani MD Az LTD (A Better Life Pain Treatment Center)
• Mohave Desert Radiology PLC
• Mohave Family Healthcare
• Mohave Hearing LLC (Mohave Beltone)
• Mohave Neuro Rehab Consul PC
• Mohave Sleep Medicine Associates LLC (Arizona Sleep Center)
• Mohave Valley Elem. School District
• Mojave Family Urgent Care (Mojave Family Healthcare and Urgent Care)
• David John Morgan Sr., RPH
• Gina Roseanne Navarro

• Community/Retail Pharmacy in Fort Mohave, AZ
• Providers in Fort Mohave, 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 May 13, 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.