Happy Valley Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y006380 Issued in AZ

Legal business name

HAPPY VALLEY PHARMACY LLC

Practice address

60 W Main St
Quartzsite, AZ 85346

Phone

(928) 927-5300

Fax

(928) 927-5299

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

Dr. Howard V Pulver, PHARMDNPI 1164825394

Title

Pic

Phone

(928) 927-5300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Happy Valley Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Howard Pulver, PHARM.D.

  • Pharmacist
  • Quartzsite, AZ
  • NPI 1164825394
  NPD Authorized official
• Rampung Pulver, RPH

  • Pharmacist
  • Glendale, AZ
  • NPI 1053710533
  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1811090160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "QUARTZSITE",
            "state": "AZ",
            "postal_code": "853460600",
            "telephone_number": "928-927-5300",
            "fax_number": "928-927-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W MAIN ST",
            "city": "QUARTZSITE",
            "state": "AZ",
            "postal_code": "85346",
            "telephone_number": "928-927-5300",
            "fax_number": "928-927-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "PULVER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "928-927-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0354388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Quartzsite, AZ
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.