Kachina Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3333 Issued in AZ

Legal business name

KACHINA PHARMACY

Practice address

2180 S 4TH Ave
Suite B
Yuma, AZ 85364-6478

Phone

(928) 726-4081

Fax

(928) 726-4127

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

David Platt

Title

Owner

Phone

(928) 726-4081

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1881732287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646478",
            "telephone_number": "928-726-4081",
            "fax_number": "928-726-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 S 4TH AVE",
            "address_2": "SUITE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646478",
            "telephone_number": "928-726-4081",
            "fax_number": "928-726-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACHINA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-726-4081"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0325628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Church DMD PLC
• Sidonie B Justynski
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• David Scott Kaba, M.D.
• Alex Kabeireho, PMHNP
• Sten Kajitani
• Zarine Kamaluddin, M.D.
• Karen a. Watts, N.P., PLC
• Judith Lynn Karg, ANP-C
• Maliha Karim, MD

• Community/Retail Pharmacy in Yuma, AZ
• Providers in Yuma, 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 Jul 21, 2015; 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.