Organization Active NPI

Fry'S Pharmacy

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1912287095
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
S018655 Issued in AZ
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

Updated by the provider on Aug 22, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.