Organization Active NPI

Sunset Community Health Center

  • Pharmacy
  • Yuma, AZ
National Provider Identifier
1407832181
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
Y004306 Issued in NU
Legal business name
SUNSET COMMUNITY HEALTH CENTER
Practice address
2060 W 24TH St
Yuma, AZ 85364-6123
Phone
(928) 819-8914
Fax
(928) 376-6606
NPI assigned
Dec 15, 2005
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
David D Rogers
Title
Ceo
Phone
(928) 819-8804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4306 AZ
Pharmacy 333600000X Y004306 NU Primary

Addresses

Primary practice location

2060 W 24TH St
Yuma, AZ 85364-6123

Mailing address

2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8914

Other identifiers 1

IdentifierTypeStateIssuer
973132MedicaidAZ

Other names 1

  • Sunset Yuma Pharmacy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sunset Community Health Center20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1407832181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8914",
            "fax_number": "928-376-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8914",
            "fax_number": "928-376-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-819-8804"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "4306",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": "Y004306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973132",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Yuma Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.