Organization Active NPI

S&G Pharmacy Inc

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1568655207
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y004773 Issued in AZ
Legal business name
S&G PHARMACY INC
Practice address
1111 E Northern Ave Ste a
Phoenix, AZ 85020-4188
Phone
(602) 331-5323
Fax
(602) 331-2458
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Jessica Levasseur
Title
President
Phone
(347) 548-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Y004773 AZ Primary

Addresses

Primary practice location

1111 E Northern Ave Ste a
Phoenix, AZ 85020-4188

Mailing address

1111 E Northern Ave Ste a
Phoenix, AZ 85020-4188
Phone (602) 331-5323

Other identifiers 2

IdentifierTypeStateIssuer
1992589OtherPK
281441MedicaidAZ

Other names 1

  • Rosy's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rosy'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 E Northern Ave
Ste A
Phoenix, AZ 85020
Phone (602) 331-5323

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1568655207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E NORTHERN AVE STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204188",
            "telephone_number": "602-331-5323",
            "fax_number": "602-331-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E NORTHERN AVE STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204188",
            "telephone_number": "602-331-5323",
            "fax_number": "602-331-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&G PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEVASSEUR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-548-4321"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y004773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992589",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosy's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosy's Pharmacy",
            "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 Jun 18, 2025; 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.