Organization Active NPI

1St Care Pharmacy LLC

Doing business as 1st Care Pharmacy

  • Community/Retail Pharmacy
  • Buckeye, AZ
National Provider Identifier
1851607444
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005289 Issued in AZ
Legal business name
1ST CARE PHARMACY LLC
Doing business as
1st Care Pharmacy
Practice address
1300 S Watson Rd Ste 104a
Buckeye, AZ 85326-6264
Phone
(623) 251-3201
Fax
(623) 251-3205
NPI assigned
Aug 20, 2010
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Lameck NyakwebaNPI 1609002948
Title
Pharmacy Director
Phone
(623) 932-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X Y005289 AZ Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1300 S Watson Rd Ste 104a
Buckeye, AZ 85326-6264

Mailing address

1300 S Watson Rd Ste 104a
Buckeye, AZ 85326-6264
Phone (623) 251-3201

Other identifiers 1

IdentifierTypeStateIssuer
0356801OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • 1st Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1300 S Watson Rd
Ste 104A
Buckeye, AZ 85326
Phone (623) 251-3201

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1851607444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD STE 104A",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266264",
            "telephone_number": "623-251-3201",
            "fax_number": "623-251-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD STE 104A",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266264",
            "telephone_number": "623-251-3201",
            "fax_number": "623-251-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "NYAKWEBA",
        "authorized_official_first_name": "LAMECK",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "623-932-9800"
    },
    "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": "Y005289",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0356801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.