NPIMap

Organization Active NPI

Gilbert Pharmacy

  • Community/Retail Pharmacy
  • Gilbert, AZ
National Provider Identifier
1699273003
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GILBERT PHARMACY
Practice address
633 E Ray Rd BLDG 1
Gilbert, AZ 85296-4202
Phone
(480) 375-5192
NPI assigned
Jan 31, 2018
Organization subpart
Yes
Parent organization
EUREKA IMPERIAL RESIDENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Cornelius Ebai Tanyi
Title
Head Pharmacist
Phone
(480) 375-5192

Specialties & licenses 1

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

Addresses

Primary practice location

633 E Ray Rd BLDG 1
Gilbert, AZ 85296-4202

Mailing address

633 E Ray Rd BLDG 1
Gilbert, AZ 85296-4202

Other names 1

  • GILBERT PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Eureka Imperial Residence 34 organizations share this tax ID, including this one
Part of
Eureka Imperial Residence 3

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1699273003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD BLDG 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD BLDG 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "480-375-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EUREKA IMPERIAL RESIDENCE",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "TANYI",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "EBAI",
        "authorized_official_title_or_position": "HEAD PHARMACIST",
        "authorized_official_telephone_number": "480-375-5192"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILBERT PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.