NPIMap

Organization Active NPI

Caresite Pharmacy of Arizona LLC

Doing business as CareSite Pharmacy

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1629296322
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4794 Issued in AZ
Legal business name
CARESITE PHARMACY OF ARIZONA LLC
Doing business as
CareSite Pharmacy
Practice address
10238 E. Hampton Ave
Suite 107
Mesa, AZ 85208
Phone
(480) 986-2681
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
James M Messina
Title
President Ceo
Phone
(570) 271-7285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4794 AZ Primary

Addresses

Primary practice location

10238 E. Hampton Ave
Suite 107
Mesa, AZ 85208

Mailing address

100 N Academy Ave
MC 24-15
Danville, PA 17822-2415
Phone (570) 271-7965

Other identifiers 1

IdentifierTypeStateIssuer
234472OtherAZAHCCCS

Other names 1

  • CareSite Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caresite Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1629296322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "MC 24-15",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222415",
            "telephone_number": "570-271-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E. HAMPTON AVE",
            "address_2": "SUITE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85208",
            "telephone_number": "480-986-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESITE PHARMACY OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "570-271-7285"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "4794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "234472",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSite Pharmacy",
            "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 19, 2007; 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.