Active NPI
Healthcare Pharmacy LLC
- Specialty Pharmacy
- Phoenix, AZ
National Provider Identifier
1710674668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- HEALTHCARE PHARMACY LLC
- Practice address
- 2320 W Peoria Ave Ste D132-a
Phoenix, AZ 85029-4753 - Phone
- (602) 704-0044
- Fax
- (602) 767-5522
- NPI assigned
- Apr 20, 2023
- Last updated
- Apr 20, 2023
- 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
- Ron Gresham
- Title
- President
- Phone
- (602) 704-0044
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Mail Order Pharmacy | 3336M0002X | NU | ||
| Specialty Pharmacy | 3336S0011X | NU | Primary |
Addresses
Primary practice location
2320 W Peoria Ave Ste D132-a
Phoenix, AZ 85029-4753
Mailing address
2320 W Peoria Ave Ste D132-a
Phoenix, AZ 85029-4753
Phone (602) 704-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155435 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
2320 W Peoria Ave
Ste D132A
Phoenix, AZ 85029
Phone (602) 704-0044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1710674668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 W PEORIA AVE STE D132-A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294753",
"telephone_number": "602-704-0044",
"fax_number": "602-767-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 W PEORIA AVE STE D132-A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294753",
"telephone_number": "602-704-0044",
"fax_number": "602-767-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2023-04-20",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "GRESHAM",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-704-0044"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155435",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Health Squared, LLC
- Healthcare Benefits Organization LLC
- Healthcare Innovation Frontier, LLC (InstaaMED)
- Healthcare Insight, LLC
- Healthcare Partners Arizona, LLC
- Healthcare Pharmacy LLC
- Healthcare Services for Hire LLC
- Healthcare Specialist Staffing Solutions, LLC
- Healthfirst Management Group, LLC (Preventative Health Alliance)
- Healthfirst Medical Group PC (Preventative Health Alliance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.