Arizona Community Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ARIZONA COMMUNITY PHARMACY

Practice address

14100 N 83Rd Ave Ste 160
Peoria, AZ 85381

Phone

(623) 230-3194

Fax

(623) 233-1610

NPI assigned

Apr 4, 2018

Last updated

Jan 14, 2019By 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

Yuliya K Ilyushenko, PHARMDNPI 1700398310

Title

Owner

Phone

(323) 704-5369

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yuliya K Ilyushenko, PHARMD

  • Ambulatory Care Pharmacist
  • Phoenix, AZ
  • NPI 1700398310
  NPD Authorized official
• Sarah Danou, PHARMD

  • Pharmacist
  • Peoria, AZ
  • NPI 1114680014
  NPD (past)

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1467958611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 160",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815653",
            "telephone_number": "623-230-3194",
            "fax_number": "623-233-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 160",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-230-3194",
            "fax_number": "623-233-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "ILYUSHENKO",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-704-5369",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y007643",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431832",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Arizona Consulting and Counseling Services
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• Arizona Courage Therapy, LLC
• Arizona CVS Stores LLC (CVS Pharmacy 09294)
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• Long Term Care Pharmacy in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.