Sun Valley Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005169 Issued in AZ

Legal business name

SUN VALLEY PHARMACY LLC

Doing business as

Sun Valley Pharmacy

Practice address

219 W Pima
Gila Bend, AZ 85353

Phone

(928) 927-5300

Fax

(928) 927-5299

NPI assigned

Aug 14, 2009

Last updated

Nov 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Halim Hassani, RPH

Title

Member

Phone

(928) 927-5300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sun Valley Pharmacy Doing business as

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1952533556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4620",
            "city": "QUARTZSITE",
            "state": "AZ",
            "postal_code": "853594620",
            "telephone_number": "480-294-3391",
            "fax_number": "928-927-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W PIMA",
            "city": "GILA BEND",
            "state": "AZ",
            "postal_code": "85353",
            "telephone_number": "928-927-5300",
            "fax_number": "928-927-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "HASSANI",
        "authorized_official_first_name": "HALIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-927-5300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470280",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0356293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terez Jamille Getz, D.O.
• Olga Macias
• Parth P Patel, DMD
• Whitney Raser
• Rocky Mountain Holdings, LLC (TriState Care Flight)
• Town of Gila Bend (Gila Bend Rescue/Ambulance)

• Community/Retail Pharmacy in Gila Bend, AZ
• Providers in Gila Bend, 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 Nov 15, 2010; 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.