Fry'S Pharmacy

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

I011203 Issued in AZ

Legal business name

FRY'S PHARMACY

Practice address

155 W Combs Rd
San Tan Valley, AZ 85140-9108

Phone

(480) 474-6601

NPI assigned

Aug 14, 2016

Organization subpart

No

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

Authorized official

Name

Michael David Voight

Title

Pharmacy Intern

Phone

(480) 390-7909

Specialties & licenses 1

Addresses

Tax ID family

Kroger Sav on J926319 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Kroger Co.

  • Community/Retail Pharmacy
  • Casa Grande, AZ
  • NPI 1861897738
  NPD tax ID

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471132800000",
    "number": "1447704887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W COMBS RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409108",
            "telephone_number": "480-474-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W COMBS RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409108",
            "telephone_number": "480-474-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A",
        "authorized_official_last_name": "VOIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY INTERN",
        "authorized_official_telephone_number": "480-390-7909"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "I011203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertold Forlemu
• Jason Fort, CST/CSA
• Elizabeth Kathleen Fox-Mtandika
• Freedom Goals LLC
• Joseph Thomas Freeman
• Michael Szu-Kai Fuh
• Nathaniel D Fulton, NMD
• G-Life Family Health and Wellness
• Ashley Lynch Gaede, LPC
• Gantzel Dental Center

• Point of Service in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Point of Service in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; 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.