Produce Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRODUCE PHARMACY LLC

Practice address

3060 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7807

Phone

(623) 231-7972

Fax

(480) 550-7948

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Brett Bannister

Title

Manager

Phone

(623) 231-7972

Specialties & licenses 1

Addresses

Other names 1

• Esatto Litchfield Doing business as

Tax ID family

Esatto Litchfield3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Produce Pharmacy LLC

  • Compounding Pharmacy
  • Mesa, AZ
  • NPI 1487532693
  NPD tax ID
• Produce Pharmacy LLC

  • Compounding Pharmacy
  • Queen Creek, AZ
  • NPI 1639057847
  NPD tax ID

Locations

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1922848480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 N LITCHFIELD RD STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957807",
            "telephone_number": "623-231-7972",
            "fax_number": "480-550-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-231-7972"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esatto Litchfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosmiles Orthodontics, PLLC
• Cristian Lizeth Prudencio
• Jacquelyn Puchala, OTR/L

• Community/Retail Pharmacy in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.