Western Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y003477 Issued in AZ

Legal business name

WESTERN DRUG INC

Doing business as

ST JOHNS DRUG

Practice address

1155 W Cleveland
St Johns, AZ 85936

Phone

(928) 337-2229

Fax

(928) 337-2500

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Fred Harper, RPHNPI 1851517866

Title

Owner

Phone

(928) 333-2916

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ST JOHNS DRUG Doing business as

Tax ID family

St Johns Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western Drug Inc

  • Community/Retail Pharmacy
  • Springerville, AZ
  • NPI 1285749200
  NPD tax ID

Practitioners 1

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

• Fred Steven Harper, RPH

  • Pharmacist
  • Springerville, AZ
  • NPI 1851517866
  NPD Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1780786186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859360517",
            "telephone_number": "928-337-2229",
            "fax_number": "928-337-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W CLEVELAND",
            "city": "ST JOHNS",
            "state": "AZ",
            "postal_code": "85936",
            "telephone_number": "928-337-2229",
            "fax_number": "928-337-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-333-2916",
        "authorized_official_credential": "RPH"
    },
    "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": "Y003477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618887",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHNS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan C. Starkel, R.N.
• Summit Healthcare Medical Associates
• Superior Speech and Language Services, LLC
• Joseph Donovan Tenney, D.D.S.
• Sandra Maureen Thompson, LPC
• White Mountain Regional Medical Center Rural Health Clinic - St. Johns
• Tifani Kaye Wilhelm
• Carl S Wiltbank, DPT

• Community/Retail Pharmacy in St Johns, AZ
• Providers in St Johns, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.