Organization Active NPI

Med Health Pharmacy LLC

  • Community/Retail Pharmacy
  • Casa Grande, AZ
National Provider Identifier
1710453055
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MED HEALTH PHARMACY LLC
Practice address
122 E Cottonwood LN Ste F
Casa Grande, AZ 85122-2548
Phone
(520) 509-6021
NPI assigned
Oct 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Authorized official

Name
Turelane Jackson
Title
Manager
Phone
(206) 853-4622

Specialties & licenses 1

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

Addresses

Primary practice location

122 E Cottonwood LN Ste F
Casa Grande, AZ 85122-2548

Mailing address

40905 W Brandt Dr
Maricopa, AZ 85138-7354
Phone (206) 853-4622

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1710453055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40905 W BRANDT DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851387354",
            "telephone_number": "206-853-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E COTTONWOOD LN STE F",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222548",
            "telephone_number": "520-509-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TURELANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-853-4622"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.