Godfrey Archibong

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022371 Issued in AZ

Practice address

12409 N Tatum Blvd
Phoenix, AZ 85032-7708

Phone

(602) 996-7320

NPI assigned

Jan 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Godfrey Archibong Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona CVS Stores LLC

  • Pharmacy
  • Peoria, AZ
  • NPI 1134549181
  NPD (past)
• Arizona CVS Stores LLC

  • Pharmacy
  • Phoenix, AZ
  • NPI 1962448043
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1831787571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 E CLEVELAND CT",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851404282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327708",
            "telephone_number": "602-996-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBONG",
        "first_name": "GODFREY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GODFREY",
            "last_name": "ARCHIBONG",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cynthia M Archer, NP
• Gayane Nersesyan Archer, MD
• Joseph Wesley Archer, MD, MPH
• Kathaleen Archer
• Arches Behavioral Health Center
• Archie Wellness Inc
• Virginia Ruth Archie
• Architetrics PC
• Andreas Archodakis, PT, DPT,GCS
• Fotini Archodakis, PT, DPT

• All providers in Phoenix, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.