Redirect PBM, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

REDIRECT PBM, LLC

Practice address

2020 N Central Ave Ste 400
Phoenix, AZ 85004-4510

Phone

(602) 687-2276

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By 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

David Berg

Title

Manager

Phone

(623) 521-9406

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice G Johnston, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1144271461
  NPD
• Lisa Helene Cochran, FNP-C

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1841307279
  NPD (past)

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1710794631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044510",
            "telephone_number": "602-687-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044510",
            "telephone_number": "602-687-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIRECT PBM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-521-9406"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sampreet Reddy, MD
• Sandhya Reddy, M.D.
• Redeem Counseling LLC
• Wendy Redford, NP
• Rachel Ana Reding
• Tracey Lynn Redish
• Michael Joseph Redivo, PH.D.
• Melissa Redlon, APRN: FNP
• Andrew Redman, NP
• Andrea Dianne Redmon, DNP, NNP

• Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.