NPIMap

Organization Active NPI

Anazaohealth Corporation

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1871700435
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH01471 Issued in NV
Legal business name
ANAZAOHEALTH CORPORATION
Practice address
6630 W Arby Ave
Suite 102
Las Vegas, NV 89118-4682
Phone
(702) 873-8455
Fax
(702) 873-6845
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mr. Douglas Berkoff
Title
VP, Cfo
Phone
(800) 995-4363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH01471 NV Primary
Compounding Pharmacy 3336C0004X PH01471 NV

Addresses

Primary practice location

6630 W Arby Ave
Suite 102
Las Vegas, NV 89118-4682

Mailing address

5710 Hoover Blvd
Tampa, FL 33634-5339
Phone (800) 995-4363

Other identifiers 1

IdentifierTypeStateIssuer
PH01471OtherNVPHARMACY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Anazaohealth Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6630 W Arby Ave
Ste 102
Las Vegas, NV 89118
Phone (702) 873-8455

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1871700435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345339",
            "telephone_number": "800-995-4363",
            "fax_number": "800-985-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 W ARBY AVE",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184682",
            "telephone_number": "702-873-8455",
            "fax_number": "702-873-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAZAOHEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "BERKOFF",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "800-995-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH01471",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NV",
            "license": "PH01471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH01471",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.