Canyon River, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CANYON RIVER, LLC

Practice address

1328 W University Dr Ste 103
Tempe, AZ 85281-3390

Phone

(480) 977-6622

Fax

(877) 708-1001

NPI assigned

Aug 5, 2026

Organization subpart

No

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

Authorized official

Name

Akshar Patel

Title

Sole Director

Phone

(480) 977-6622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Swan Pharmacy- Tempe Doing business as

Tax ID family

Canyon River LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Canyon River, LLC

  • Community/Retail Pharmacy
  • Tempe, AZ
  • NPI 1730042292
  NPD tax ID

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1477477388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 W UNIVERSITY DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813390",
            "telephone_number": "480-977-6622",
            "fax_number": "877-708-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 W UNIVERSITY DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813390",
            "telephone_number": "480-977-6622",
            "fax_number": "877-708-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AKSHAR",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "480-977-6622"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228795",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Swan Pharmacy- Tempe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony John Canestraro, M.D.
• Richard Brooks Canfield, MC, CEAP, LPC
• Matthew J Cangemi, PHARM.D.
• Alice Mae Cannan, RBT
• Canyon Pain and Spine
• Canyon River, LLC
• Jacci Arden Caplin, MSW, LCSW
• Elizabeth Capps-Conkle, PSY.D.
• Freddie Carabajal, ATC
• Tawnie C Caracci, APN, FNP

• Long Term Care Pharmacy in Tempe, AZ
• Providers in Tempe, 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 Aug 5, 2026; 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.