Organization Active NPI

Ranch Drugstore Inc

  • Community/Retail Pharmacy
  • Scottsdale, AZ
National Provider Identifier
1780720391
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y003151 Issued in AZ
Legal business name
RANCH DRUGSTORE INC
Practice address
10769 N Frank Lloyd Wright Blvd
Ste a-100
Scottsdale, AZ 85259-2682
Phone
(480) 443-4656
Fax
(480) 443-4809
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Sheila Soraya
Title
Pharmacy Manager
Phone
(480) 443-4656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y003151 AZ Primary

Addresses

Primary practice location

10769 N Frank Lloyd Wright Blvd
Ste a-100
Scottsdale, AZ 85259-2682

Mailing address

10769 N Frank Lloyd Wright Blvd
Ste a-100
Scottsdale, AZ 85259-2682
Phone (480) 443-4656

Other identifiers 2

IdentifierTypeStateIssuer
136962MedicaidAZ
1989557OtherPK

Other names 1

  • RANCH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091007000180 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 1759427651 Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

9619 N Hayden Rd
Ste A114
Scottsdale, AZ 85258
Phone (480) 443-4656

10769 N Frank Lloyd Wright Blvd
Ste A100
Scottsdale, AZ 85259
Phone (480) 443-4656

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1780720391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10769 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "STE A-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592682",
            "telephone_number": "480-443-4656",
            "fax_number": "480-443-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "STE A-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592682",
            "telephone_number": "480-443-4656",
            "fax_number": "480-443-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH DRUGSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "SORAYA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "480-443-4656"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y003151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136962",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.