NPIMap

Organization Active NPI

Nimble Pharmacy Inc

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1841795887
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y007578 Issued in AZ
Legal business name
NIMBLE PHARMACY INC
Doing business as
Nimble Pharmacy
Practice address
3702 E Roeser Rd Ste 5
Phoenix, AZ 85040-9047
Phone
(866) 966-4625
NPI assigned
Mar 29, 2018
Organization subpart
Yes
Parent organization
NIMBLE PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Talha Waqar
Title
Ceo
Phone
(866) 966-4625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Y007578 AZ Primary

Addresses

Primary practice location

3702 E Roeser Rd Ste 5
Phoenix, AZ 85040-9047

Mailing address

1134 Crane St Ste 100
Menlo Park, CA 94025-4329

Other names 1

  • Nimble Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nimble Pharmacy Inc10 organizations share this tax ID, including this one
Part of
Nimble Pharmacy Inc

Other organizations with this tax ID 9

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

Locations

3702 E Roeser Rd
Ste 5
Phoenix, AZ 85040

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1841795887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 CRANE ST STE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 E ROESER RD STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850409047",
            "telephone_number": "866-966-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBLE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIMBLE PHARMACY INC",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "WAQAR",
        "authorized_official_first_name": "TALHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-966-4625"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y007578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimble 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 Mar 29, 2018; 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.