Acorn USA Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y005344 Issued in AZ

Legal business name

ACORN USA INC

Practice address

1300 N 12TH St Ste 406
Phoenix, AZ 85006-2848

Phone

(602) 595-3555

Fax

(602) 595-3605

NPI assigned

Feb 22, 2011

Organization subpart

No

Name

Yuri Eidelman

Title

President/Ceo

Phone

(602) 595-3555

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

• Acorn USA, Inc.

  • Community/Retail Pharmacy
  • Scottsdale, AZ
  • NPI 1073851143
  NPD tax ID

Tax ID family

Acorn USA Inc (2 organizations share this tax ID)

• Sunwest LTC Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2011.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1487951828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-595-3555",
            "fax_number": "602-595-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-595-3555",
            "fax_number": "602-595-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "EIDELMAN",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-595-3555"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005344",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0356988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunwest LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jemeille Ackourey, LPC
• Acoma Behavioral Health LLC
• Acome Home LLC
• Michael Paul Acord, D.C.
• Acorn USA Inc
• Daisy Ruby Acosta
• Esther S Acosta, PH.D., NCSP
• Geni A Acosta, RD
• Holly Marie Acosta, PTA
• Jessica Lynn Acosta, NP

• All providers in Phoenix, AZ
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.