Active NPI
Az Pharmacy, LLC
- Community/Retail Pharmacy
- Phoenix, AZ
National Provider Identifier
1912499500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- Y007632
- Legal business name
- AZ PHARMACY, LLC
- Practice address
- 3809 E Watkins St
Phoenix, AZ 85034-7264 - Phone
- (855) 745-5725
- Fax
- (623) 289-9864
- NPI assigned
- May 31, 2018
- 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
- Tanvi Jayanti Patel
- Title
- Vice President
- Phone
- (855) 745-5725
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Y007632 | AZ | Primary |
Addresses
Primary practice location
3809 E Watkins St
Phoenix, AZ 85034-7264
Mailing address
3809 E Watkins St
Phoenix, AZ 85034-7264
Phone (855) 745-5725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177890 | Other | PK |
Other names 1
- Amazon Pharmacy #002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210909001678 | AZ | Part B Supplier - Pharmacy | 3577963289 | Practice locations: Phoenix, AZ |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3809 E Watkins St
Phoenix, AZ 85034
Phone (602) 431-8058
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Phoenix, AZ
- NPI 1891516340
-
- Pharmacist
- Phoenix, AZ
- NPI 1154799633
-
- Pharmacist
- Phoenix, AZ
- NPI 1144931874
-
- Pharmacist
- Phoenix, AZ
- NPI 1073115473
-
- Pharmacist
- Phoenix, AZ
- NPI 1538548599
-
- Pharmacist
- Phoenix, AZ
- NPI 1285360610
-
- Pharmacist
- Phoenix, AZ
- NPI 1548972011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1912499500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 E WATKINS ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850347264",
"telephone_number": "855-745-5725",
"fax_number": "603-935-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 E WATKINS ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850347264",
"telephone_number": "855-745-5725",
"fax_number": "623-289-9864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "TANVI",
"authorized_official_middle_name": "JAYANTI",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "855-745-5725"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "Y007632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2177890",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amazon Pharmacy #002",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.