NPIMap

Organization Active NPI

Yavapai Regional Medical Center

  • Pharmacy
  • Prescott, AZ
National Provider Identifier
1639282999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
101741 Issued in AZ
Legal business name
YAVAPAI REGIONAL MEDICAL CENTER
Practice address
1003 Willow Creek Rd
Outpatient Pharmacy
Prescott, AZ 86301-1641
Phone
(928) 771-5520
Fax
(928) 771-5521
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory John Huffaker, RPH
Title
Outpatient Pharmacy Manager
Phone
(928) 771-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 101741 AZ Primary

Addresses

Primary practice location

1003 Willow Creek Rd
Outpatient Pharmacy
Prescott, AZ 86301-1641

Mailing address

1003 Willow Creek Rd
Outpatient Pharmacy
Prescott, AZ 86301-1641
Phone (928) 771-5520

National Provider Directory

National Provider Directory
Tax ID family
Yavapai Regional Med CT3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1003 Willow Creek Rd
Ste D
Prescott, AZ 86301

7700 E Florentine Rd
Ste 300
Prescott Valley, AZ 86314

3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639282999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-771-5520",
            "fax_number": "928-771-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-771-5520",
            "fax_number": "928-771-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUFFAKER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY MANAGER",
        "authorized_official_telephone_number": "928-771-5520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "101741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.