NPIMap

Organization Active NPI

Maricopa County Special Health Care District

Doing business as Valleywise Community Health Center - Glendale Pharmacy

  • Community/Retail Pharmacy
  • Glendale, AZ
National Provider Identifier
1710922927
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y004183 Issued in AZ
Legal business name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Doing business as
Valleywise Community Health Center - Glendale Pharmacy
Practice address
5141 W Lamar Rd
Glendale, AZ 85301-3423
Phone
(623) 344-6720
Fax
(623) 344-6706
NPI assigned
Jun 19, 2006
Last updated
Oct 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Anna Sogard
Title
Director of Pharmacy
Phone
(602) 344-5253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y004183 AZ Primary

Addresses

Primary practice location

5141 W Lamar Rd
Glendale, AZ 85301-3423

Mailing address

5141 W Lamar Rd
Glendale, AZ 85301-3423
Phone (623) 344-6720

Other identifiers 2

IdentifierTypeStateIssuer
1997579OtherPK
157174MedicaidAZ

Other names 1

  • VALLEYWISE COMMUNITY HEALTH CENTER - GLENDALE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maricopa County Special Health Care District23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1710922927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013423",
            "telephone_number": "623-344-6720",
            "fax_number": "623-344-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013423",
            "telephone_number": "623-344-6720",
            "fax_number": "623-344-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "SOGARD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "602-344-5253"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y004183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997579",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157174",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEYWISE COMMUNITY HEALTH CENTER - GLENDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.