Active NPI
Canyon River, LLC
Doing business as Blue Swan Pharmacy- Tempe
- Community/Retail Pharmacy
- Tempe, AZ
National Provider Identifier
1730042292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CANYON RIVER, LLC
- Doing business as
- Blue Swan Pharmacy- Tempe
- Practice address
- 1328 W University Dr Ste 103
Tempe, AZ 85281-3390 - Phone
- (860) 402-8018
- NPI assigned
- Dec 3, 2025
- 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
- Akshar Patel
- Title
- Member
- Phone
- (678) 977-9009
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1328 W University Dr Ste 103
Tempe, AZ 85281-3390
Mailing address
1328 W University Dr Ste 103
Tempe, AZ 85281-3390
Phone (480) 977-6622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228795 | Medicaid | AZ |
Other names 1
- Blue Swan Pharmacy- Tempe
National Provider Directory
National Provider Directory- Tax ID family
- Canyon River LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1328 W University Dr
Ste 103
Tempe, AZ 85281
Phone (860) 402-8018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1730042292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 W UNIVERSITY DR STE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852813390",
"telephone_number": "480-977-6622",
"fax_number": "877-708-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 W UNIVERSITY DR STE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852813390",
"telephone_number": "860-402-8018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANYON RIVER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AKSHAR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "678-977-9009"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228795",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Swan Pharmacy- Tempe",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.