Quogen LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

QUOGEN LLC

Practice address

535 E McKellips Rd
Suite 121
Mesa, AZ 85203-2522

Phone

(480) 685-1027

NPI assigned

Jan 11, 2017

Last updated

Jan 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nelson P Sparks II

Title

Resident Genius

Phone

(480) 685-1027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1689110819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MCKELLIPS RD",
            "address_2": "SUITE 121",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032522",
            "telephone_number": "480-685-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MCKELLIPS RD",
            "address_2": "SUITE 121",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032522",
            "telephone_number": "480-685-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUOGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RESIDENT GENIUS",
        "authorized_official_telephone_number": "480-685-1027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Non-Pharmacy Dispensing Site in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.