NPIMap

Organization Active NPI

Maricopa County Special Heallth Care District

Doing business as Valleywise Health Community Health Center - South Phoenix/Laveen

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1750906277
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARICOPA COUNTY SPECIAL HEALLTH CARE DISTRICT
Doing business as
Valleywise Health Community Health Center - South Phoenix/Laveen
Practice address
5650 S 35TH Ave
Phoenix, AZ 85041
Phone
(602) 344-1376
Fax
(602) 344-1163
NPI assigned
Jun 10, 2020
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5650 S 35TH Ave
Phoenix, AZ 85041

Mailing address

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1376

Other names 1

  • Valleywise Health Community Health Center - South Phoenix/Laveen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maricopa Integrated Hea23 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": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1750906277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084948",
            "telephone_number": "602-344-1376",
            "fax_number": "602-344-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 S 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85041",
            "telephone_number": "602-344-1376",
            "fax_number": "602-344-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA COUNTY SPECIAL HEALLTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valleywise Health Community Health Center - South Phoenix/Laveen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2020; 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.