Arizona CVS Stores

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ARIZONA CVS STORES

Practice address

75 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5651

Phone

(928) 854-6300

NPI assigned

Sep 15, 2020

Organization subpart

Yes

Parent organization

ARIZONA CVS STORESAs reported in NPPES

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

Authorized official

Name

Duaa Elamin, RPHNPI 1659987188

Title

Pharmacist

Phone

(714) 331-0309

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Duaa Elamin, RPH

  • Pharmacist
  • Lake Havasu City, AZ
  • NPI 1659987188
  NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1821603994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAKE HAVASU AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035651",
            "telephone_number": "928-854-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAKE HAVASU AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035651",
            "telephone_number": "928-854-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CVS STORES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA CVS STORES",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "ELAMIN",
        "authorized_official_first_name": "DUAA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-331-0309",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Arthritis & Rheumatology Associates P C
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• Arizona Coast Ear, Nose & Throat, LTD.
• Arizona Coast Radiology, PLLC
• Arizona Coast Wide Open MRI, PLLC
• Arizona CVS Stores LLC
• Arizona Dental Professionals, P.C.
• Arizona Dental Sleep Therapy
• Arizona Em-I Medical Services, P.C.
• Arizona Emergency Medicine Specialists PC

• Pharmacy in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.