Pharmcare USA of Greater Phoenix LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y006685 Issued in AZ

Legal business name

PHARMCARE USA OF GREATER PHOENIX LLC

Practice address

4100 E Broadway Rd
Phoenix, AZ 85040-8843

Phone

(602) 438-9301

Fax

(855) 937-0794

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Barney Kent Abbott

Title

President

Phone

(405) 663-4111

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Pharmcare USA of Greater Phoenix Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pharmcare USA of Greater Phoenix LLC

  • Pharmacy
  • Tucson, AZ
  • NPI 1912366774

  6002178936

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pharmcare USA of Greater Phoenix LLC

  • Pharmacy
  • Tucson, AZ
  • NPI 1912366774

  O20200505001194

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1740648708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480010",
            "telephone_number": "602-438-9301",
            "fax_number": "855-937-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E BROADWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408843",
            "telephone_number": "602-438-9301",
            "fax_number": "855-937-0794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 W Baseline Rd",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831067",
            "country_code": "US",
            "telephone_number": "602-438-9301",
            "fax_number": "602-438-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHARMCARE USA OF GREATER PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-663-4111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y006685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110405",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157542",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmcare USA of Greater Phoenix",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmcare USA of Greater Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.