Active NPI
Fry'S Pharmacy
- Community/Retail Pharmacy
- Mesa, AZ
National Provider Identifier
1912287095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- S018655
- Legal business name
- FRY'S PHARMACY
- Practice address
- 1935 N Stapley Dr
Mesa, AZ 85203-2749 - Phone
- (480) 610-4173
- Fax
- (480) 610-4176
- NPI assigned
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Nicole Hall, PHARMD
- Title
- Staff Pharmacist
- Phone
- (480) 274-8302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | S018655 | AZ | Primary |
Addresses
Primary practice location
1935 N Stapley Dr
Mesa, AZ 85203-2749
Mailing address
1935 N Stapley Dr
Mesa, AZ 85203-2749
Phone (480) 610-4173
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1912287095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 N STAPLEY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852032749",
"telephone_number": "480-610-4173",
"fax_number": "480-610-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 N STAPLEY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852032749",
"telephone_number": "480-610-4173",
"fax_number": "480-610-4176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRY'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "STAFF PHARMACIST",
"authorized_official_telephone_number": "480-274-8302",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "S018655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.