Active NPI
Val Vista Pharmacy
- Community/Retail Pharmacy
- Gilbert, AZ
National Provider Identifier
1922401116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- Y006086
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y006086 | Other | AZ | STATE PERMIT |
| 0044328 | Medicaid | AZ |
Other names 1
- SAROUJA GILBERT PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Gilbert, AZ
- NPI 1922720168
-
- Pharmacist
- Gilbert, AZ
- NPI 1962289173
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.