Organization Active NPI

Val Vista Pharmacy

  • Community/Retail Pharmacy
  • Gilbert, AZ
National Provider Identifier
1922401116
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y006086 Issued in AZ
Legal business name
VAL VISTA PHARMACY
Practice address
3570 S. Val Vista Dr. Ste 108
Gilbert, AZ 85297-7327
Phone
(480) 887-0244
Fax
(480) 847-6868
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Dr. Justin John Clark, PHARMD
Title
Owner/Pharmacist in Charge
Phone
(480) 887-0244

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Y006086 AZ
Community/Retail Pharmacy 3336C0003X Y006086 AZ Primary
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3570 S. Val Vista Dr. Ste 108
Gilbert, AZ 85297-7327

Mailing address

3570 S. Val Vista Dr. Ste 108,
Gilbert, AZ 85297-7327
Phone (480) 887-0244

Other identifiers 2

IdentifierTypeStateIssuer
Y006086OtherAZSTATE PERMIT
0044328MedicaidAZ

Other names 1

  • SAROUJA GILBERT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3570 S Val Vista Dr
Ste 108
Gilbert, AZ 85297
Phone (480) 887-0244

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1922401116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 S. VAL VISTA DR. STE 108,",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-887-0244",
            "fax_number": "480-847-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 S. VAL VISTA DR. STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-887-0244",
            "fax_number": "480-847-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL VISTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "480-887-0244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y006086",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006086",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PERMIT",
            "identifier": "Y006086",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044328",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAROUJA GILBERT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.