Organization Active NPI

Pharmcareusa of Phoenix, LLC

  • Long Term Care Pharmacy
  • Mesa, AZ
National Provider Identifier
1497099089
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
Y005559 Issued in AZ
Legal business name
PHARMCAREUSA OF PHOENIX, LLC
Doing business as
PharmcareUSA of Phoenix, LLC
Practice address
4320 E Brown Rd Ste 106
Mesa, AZ 85205-4081
Phone
(480) 832-9008
Fax
(480) 832-9008
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Barney Abbott
Title
Manager
Phone
(866) 403-2003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Y005559 AZ Primary

Addresses

Primary practice location

4320 E Brown Rd Ste 106
Mesa, AZ 85205-4081

Mailing address

4320 E Brown Rd
Suite 106
Mesa, AZ 85205-4082
Phone (480) 832-9008

Other identifiers 1

IdentifierTypeStateIssuer
0357752OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PharmcareUSA of Phoenix, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4320 E Brown Rd
Ste 106
Mesa, AZ 85205
Phone (480) 832-9008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1497099089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 E BROWN RD",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054082",
            "telephone_number": "480-832-9008",
            "fax_number": "480-832-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 E BROWN RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054081",
            "telephone_number": "480-832-9008",
            "fax_number": "480-832-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCAREUSA OF PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-403-2003"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0357752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmcareUSA of Phoenix, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.