Canyonlands Community Health Care
Organization Active NPI Community/Retail Pharmacy · Pima, AZ
NPI 1497604193 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1497604193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CANYONLANDS COMMUNITY HEALTH CARE
- Practice address
- 18 W Center St
Pima, AZ 85543-0030 - Phone
- (928) 645-9675
- NPI assigned
- Jan 26, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- CANYONLANDS COMMUNITY HEALTH CARE
Authorized official
- Name
- Holly Smith
- Title
- Cfo
- Phone
- (928) 645-9675
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Lake Powell Medical Center
- Part of
- Lake Powell Medical Center
Locations
18 W Center St
Pima, AZ 85543
Phone (928) 485-4315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
18 W Center St
Pima, AZ 85543-0030
Mailing address
PO Box 1625
Page, AZ 86040-1625
Phone (928) 645-9675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y010327 | Other | AZ | LICENSE |
Other names
- Canyonlands Healthcare - Palo Verde
Other providers in Pima, AZ
- Shelby Bedolla
- Marcie Renee Brown
- Canyonlands Community Health Care
- Tia Noel Cross
- Heatherann Dyer
- Samantha Ford
- Natalie Goodman
- Marny Jarvis
All providers in Pima, AZ · Community/Retail Pharmacy in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.