Kruskamd Murrillo Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y02936 Issued in AZ

Legal business name

KRUSKAMD MURRILLO INC

Doing business as

FAIRMONT UNITED DRUG

Practice address

1617 N 32ND St
Ste 5
Phoenix, AZ 85008-3849

Phone

(602) 275-5719

Fax

(602) 392-0556

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Greg Roller

Title

Pres

Phone

(602) 275-5719

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• FAIRMONT UNITED DRUG Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1841369790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E VIA LINDA",
            "address_2": "STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N 32ND ST",
            "address_2": "STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083849",
            "telephone_number": "602-275-5719",
            "fax_number": "602-392-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUSKAMD MURRILLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "602-275-5719"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y02936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031170",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0320313",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0320313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRMONT UNITED DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Arbetman Kruk, MSW
• Neda Krunic, PHARMD
• Scott Krupinsky
• Jennifer Moore Kruse, PMHNP-BC
• Kerrie Kruse
• Maria Rosario Krusmark
• Kevin Kryder, D.D.S.
• Kryten Holdings
• Dominique Lassen Krzykos
• KS Az-1, PC

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, 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 Feb 19, 2008; 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.