NPIMap

Organization Active NPI

CVS

  • Geriatric Pharmacist
  • Phoenix, AZ
National Provider Identifier
1750837852
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
S016620 Issued in AZ
Legal business name
CVS
Practice address
5835 W Indian School Rd
Phoenix, AZ 85031-2420
Phone
(623) 247-4030
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Christopher Demuth
Title
Pharmacy Manager
Phone
(219) 680-9172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835G0303X S016620 AZ Primary

Addresses

Primary practice location

5835 W Indian School Rd
Phoenix, AZ 85031-2420

Mailing address

5835 W Indian School Rd
Phoenix, AZ 85031-2420

National Provider Directory

National Provider Directory
Tax ID family
CVS132 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1750837852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312420",
            "telephone_number": "623-247-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "DEMUTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "219-680-9172"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "AZ",
            "license": "S016620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.