Organization Active NPI

Crestview Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Tempe, AZ
National Provider Identifier
1669949780
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CRESTVIEW PHARMACY SERVICES LLC
Practice address
3225 South Hardy Dr.
Ste 100
Tempe, AZ 85282
Phone
(480) 485-1366
Fax
(480) 718-7573
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Ms. Alison Wistner
Title
Ceo
Phone
(480) 485-1366

Specialties & licenses 1

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

Addresses

Primary practice location

3225 South Hardy Dr.
Ste 100
Tempe, AZ 85282

Mailing address

3225 South Hardy Dr.
Ste 100
Tempe, AZ 85282
Phone (480) 485-1366

National Provider Directory

National Provider Directory

Locations

3225 S Hardy Dr
Ste 100
Tempe, AZ 85282
Phone (480) 485-1366

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1669949780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SOUTH HARDY DR.",
            "address_2": "STE 100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-485-1366",
            "fax_number": "480-718-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SOUTH HARDY DR.",
            "address_2": "STE 100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-485-1366",
            "fax_number": "480-718-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "WISTNER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-485-1366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.