Apothecary Shop of Mesa Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

4155 Issued in AZ

Legal business name

APOTHECARY SHOP OF MESA INC

Doing business as

The Apothecary Shop of Mesa

Practice address

1432 S Dobson Rd
Ste 101
Mesa, AZ 85202-4769

Phone

(480) 969-9595

Fax

(480) 969-9494

NPI assigned

Jun 17, 2005

Last updated

Aug 22, 2020By 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

John Musil, PHARMD

Title

Ceo

Phone

(623) 434-3650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Apothecary Shop of Mesa Doing business as

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447255187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 N 20TH DR",
            "address_2": "STE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850621",
            "telephone_number": "623-434-3650",
            "fax_number": "623-434-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024769",
            "telephone_number": "480-969-9595",
            "fax_number": "480-969-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOP OF MESA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-434-3650",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915267",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apothecary Shop of Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Mesa, AZ
• Providers in Mesa, 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.