Active NPI
Clinic Pharmacy Inc
- Community/Retail Pharmacy
- Tucson, AZ
National Provider Identifier
1699857474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- Y01713
- Legal business name
- CLINIC PHARMACY INC
- Doing business as
- CLINIC PHARMACY
- Practice address
- 1601 N Tucson Blvd
Suite 34
Tucson, AZ 85716-3425 - Phone
- (520) 326-4224
- Fax
- (520) 324-0765
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Chen, RPH,PHARM. D.
- Title
- Owner
- Phone
- (520) 326-4224
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Y01713 | AZ | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1601 N Tucson Blvd
Suite 34
Tucson, AZ 85716-3425
Mailing address
1601 N Tucson Blvd
Suite 34
Tucson, AZ 85716-3425
Phone (520) 326-4224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300878 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 030049 | Medicaid | AZ |
Other names 1
- CLINIC PHARMACY
National Provider Directory
National Provider DirectoryLocations
1601 N Tucson Blvd
Ste 34
Tucson, AZ 85716
Phone (520) 326-4224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268870400000",
"number": "1699857474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD",
"address_2": "SUITE 34",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163425",
"telephone_number": "520-326-4224",
"fax_number": "520-324-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD",
"address_2": "SUITE 34",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163425",
"telephone_number": "520-326-4224",
"fax_number": "520-324-0765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINIC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2010-03-18",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-326-4224",
"authorized_official_credential": "RPH,PHARM. D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "Y01713",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0300878",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030049",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINIC PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.