Active NPI
Pharmcareusa of Phoenix, LLC
- Long Term Care Pharmacy
- Mesa, AZ
National Provider Identifier
1497099089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- Y005559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357752 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- PharmcareUSA of Phoenix, LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Mesa, AZ
- NPI 1174830137
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.