NPIMap

Organization Active NPI

Phoenix Children's Hospital

Doing business as Phoenix Children's Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1841586773
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y001644 Issued in AZ
Legal business name
PHOENIX CHILDREN'S HOSPITAL
Doing business as
Phoenix Children's Outpatient Pharmacy
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-2048
Fax
(602) 933-2057
NPI assigned
Jun 20, 2011
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Robert Meyer
Title
President & C.E.O.
Phone
(602) 933-0400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X Y001644 AZ Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

1919 E Thomas Rd
Attn: Retail Pharmacy
Phoenix, AZ 85016-7710
Phone (602) 933-2048

Other identifiers 3

IdentifierTypeStateIssuer
612764MedicaidAZ
621764MedicaidAZ
2130676OtherPK

Other names 1

  • Phoenix Children's Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000196 AZ DME Supplier - Pharmacy 9436069291 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Children's Hospital Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

3370 S Mercy Rd
Ste 101
Gilbert, AZ 85297

3370 S Mercy Rd
Ste 125
Gilbert, AZ 85297

3370 S Mercy Rd
Ste 214
Gilbert, AZ 85297

3370 S Mercy Rd
Ste 221
Gilbert, AZ 85297

19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777

20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-0003

5757 W Thunderbird Rd
Ste E353
Glendale, AZ 85306
Phone (480) 315-8412

6524 W Sack Dr
Ste 101
Glendale, AZ 85308

6524 W Sack Dr
Ste 120
Glendale, AZ 85308

6524 W Sack Dr
Ste 201
Glendale, AZ 85308
Phone (602) 933-0935

6524 W Sack Dr
Ste 210
Glendale, AZ 85308

1920 E Cambridge Ave
Ste 100
Phoenix, AZ 85006
Phone (480) 945-8440

1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

1920 E Cambridge Ave
Ste 304
Phoenix, AZ 85006
Phone (602) 933-3335

10210 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 882-7438

10250 N 92nd St
Ste 212
Scottsdale, AZ 85258
Phone (480) 551-5154

6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1841586773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "address_2": "ATTN: RETAIL PHARMACY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-2048",
            "fax_number": "602-933-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-2048",
            "fax_number": "602-933-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O.",
        "authorized_official_telephone_number": "602-933-0400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y001644",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612764",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621764",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Children's Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.