NPIMap

Organization Active NPI

Yuma Regional Med Ctr Phcy

Doing business as Yuma Regional Medical Center Pharmacy

  • Institutional Pharmacy
  • Yuma, AZ
National Provider Identifier
1609802396
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
Y000436 Issued in AZ
Legal business name
YUMA REGIONAL MED CTR PHCY
Doing business as
Yuma Regional Medical Center Pharmacy
Practice address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone
(928) 336-7815
Fax
(912) 996-7696
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Tom Von Hassel
Title
Director of Pahrmacy
Phone
(928) 336-7815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X Y000436 AZ Primary

Addresses

Primary practice location

2400 S Avenue a
Yuma, AZ 85364-7127

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 336-7815

Other identifiers 1

IdentifierTypeStateIssuer
1987973OtherPK

Other names 1

  • YUMA REGIONAL MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yuma Medical Regional C5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1609802396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-336-7815",
            "fax_number": "912-996-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-336-7815",
            "fax_number": "912-996-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA REGIONAL MED CTR PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "VON HASSEL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR OF PAHRMACY",
        "authorized_official_telephone_number": "928-336-7815"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AZ",
            "license": "Y000436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1987973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUMA REGIONAL MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.