Eagle Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005337 Issued in AZ

Legal business name

EAGLE PHARMACY, LLC

Doing business as

Eagle Pharmacy

Practice address

16222 N 59TH Ave
Suite D175
Glendale, AZ 85306-1701

Phone

(602) 354-5261

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Krueger, RPHNPI 1326362302

Title

Member

Phone

(602) 312-8290

Specialties & licenses 1

Addresses

Other names 1

• Eagle Pharmacy Doing business as

Locations

Practitioners 1

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

• Bryan J Krueger, RPH.

  • Pharmacist
  • Phoenix, AZ
  • NPI 1326362302
  NPD (past) Authorized official

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1669777348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9869 W QUAIL TRACK DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838793",
            "telephone_number": "602-312-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "SUITE D175",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061701",
            "telephone_number": "602-354-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-312-8290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Charles Dykes, M.D.
• Dyna Care Arizona LLC
• Ashlyn Dzialo, RBT
• E Z Health Medical Supply, Inc
• Eagle Pass Senior Living LLC
• Dream Earl
• Nicole Ann Early-Maxson, LCSW
• Brian F Easley, O.D.
• Eastside Surgery Center, LLC
• Michelle Eaton, LBA, BCBA

• Community/Retail Pharmacy in Glendale, AZ
• Providers in Glendale, 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 Jan 11, 2011; 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.