Valley Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005172 Issued in AZ

Legal business name

VALLEY PHARMACY

Practice address

2960 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7822

Phone

(623) 505-6500

Fax

(623) 505-6505

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Amgad Gadalla

Title

Office Manager

Phone

(623) 505-6500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Valley Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1457581365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 PORT ARTHUR DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803537",
            "telephone_number": "909-327-8467",
            "fax_number": "623-505-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 N LITCHFIELD RD STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957822",
            "telephone_number": "623-505-6500",
            "fax_number": "623-505-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "GADALLA",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-505-6500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005172",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0356243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darice Upchurch
• Vance Mikhail Tan Uy, M.D.
• Pooneh Vafaee, O.D.
• Valley Direct Primary Care, PLLC
• Valley Oximetry Incorporated
• Valley Sleep Therapy Inc
• Value Dental Centers Goodyear Az, LLC
• Aniesa Van Sickle
• Caitlin Vance, OTD, OTR/L
• Vanderbilt Farms Assisted Living LLC

• Community/Retail Pharmacy in Goodyear, AZ
• Providers in Goodyear, 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 Jun 21, 2011; 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.