NPIMap

Organization Active NPI

Uptown Pharmacy of Kingman , Inc

Doing business as Uptown Home Medical, Uptown Drug

  • Durable Medical Equipment & Medical Supplies
  • Kingman, AZ
National Provider Identifier
1942348677
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
Y007029 Issued in AZ
Legal business name
UPTOWN PHARMACY OF KINGMAN , INC
Doing business as
Uptown Home Medical, Uptown Drug
Practice address
2820 E Andy Devine Ave
Kingman, AZ 86401-4203
Phone
(928) 753-2738
Fax
(928) 753-2383
NPI assigned
Feb 2, 2007
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Mr. Chris Howard Proffit, RPHNPI 1811765639
Title
Pharmacistis, President
Phone
(928) 753-2738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Y007029 AZ Primary

Addresses

Primary practice location

2820 E Andy Devine Ave
Kingman, AZ 86401-4203

Mailing address

2820 E Andy Devine Ave
Kingman, AZ 86401-4203
Phone (928) 753-2738

Other names 1

  • UPTOWN HOME MEDICAL, UPTOWN DRUG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1942348677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014203",
            "telephone_number": "928-753-2738",
            "fax_number": "928-753-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014203",
            "telephone_number": "928-753-2738",
            "fax_number": "928-753-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN PHARMACY OF KINGMAN , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "PROFFIT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PHARMACISTIS, PRESIDENT",
        "authorized_official_telephone_number": "928-753-2738",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "Y007029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPTOWN HOME MEDICAL, UPTOWN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.