Organization Active NPI

Clarest Health 2903, LLC

  • Long Term Care Pharmacy
  • Phoenix, AZ
National Provider Identifier
1760162903
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLAREST HEALTH 2903, LLC
Practice address
4645 E Cotton Center Blvd Ste 100
Phoenix, AZ 85040-8883
Phone
(480) 810-0000
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Bincy Varghese, PHARM D
Title
Corporate Compliance Officer
Phone
(631) 359-9711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4645 E Cotton Center Blvd Ste 100
Phoenix, AZ 85040-8883

Mailing address

1 Olympic PL Ste 600
Towson, MD 21204-4110
Phone (888) 741-0367

National Provider Directory

National Provider Directory

Locations

4645 E Cotton Center Blvd
Ste 100
Phoenix, AZ 85040
Phone (480) 810-0000

230 Sea Ln
Farmingdale, NY 11735

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1760162903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL STE 600",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044110",
            "telephone_number": "888-741-0367",
            "fax_number": "631-393-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 E COTTON CENTER BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408883",
            "telephone_number": "480-810-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREST HEALTH 2903, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "BINCY",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "631-359-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "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 Jun 7, 2024; 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.