NPIMap

Organization Active NPI

Arizona Pharmacy, LLC

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1487958583
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005320 Issued in AZ
Legal business name
ARIZONA PHARMACY, LLC
Practice address
19636 N 27TH Ave
Suite 104
Phoenix, AZ 85027-4013
Phone
(623) 939-1120
Fax
(623) 939-1130
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Grace Lingad Jones, PHARM.D.
Title
Pharmacy Manager
Phone
(618) 960-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Y005320 AZ Primary

Addresses

Primary practice location

19636 N 27TH Ave
Suite 104
Phoenix, AZ 85027-4013

Mailing address

20118 N 67TH Ave
Suite 300-181
Glendale, AZ 85308-4621
Phone (618) 960-7173

Other names 1

  • Arizona Pharmacy # 2 Doing business as

National Provider Directory

National Provider Directory

Locations

19636 N 27th Ave
Ste 104
Phoenix, AZ 85027
Phone (623) 939-1120

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1487958583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE",
            "address_2": "SUITE 300-181",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "618-960-7173",
            "fax_number": "623-939-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274013",
            "telephone_number": "623-939-1120",
            "fax_number": "623-939-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "LINGAD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "618-960-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Pharmacy # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.