Thumb Butte Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y006909 Issued in AZ

Legal business name

THUMB BUTTE PHARMACY LLC

Practice address

3120 Willow Creek Rd # 150
Prescott, AZ 86301-6610

Phone

(928) 237-4006

Fax

(928) 237-4008

NPI assigned

Jul 3, 2017

Organization subpart

No

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

Authorized official

Name

Pedram Pezeshki

Title

Pharmacist

Phone

(818) 912-0132

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1538680269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CLAIRE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017446",
            "telephone_number": "818-912-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WILLOW CREEK RD # 150",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-237-4006",
            "fax_number": "928-237-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUMB BUTTE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "PEZESHKI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-912-0132"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175348",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356158",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J. Thrift, MD
• Vernon Darwin Throop Jr., LCSW
• Thumb Butte Medical Center, PLLC
• Thumb Butte Medical Center, PLLC
• Thumb Butte Medical Clinic, PLLC
• Thumb Butte Radiology, LLC
• Thundermaker BHRF LLC
• Thundermaker Wellness LLC
• Lee Thurston, MD
• Pierre R Tibi, MD

• Community/Retail Pharmacy in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.