Active NPI
Foothills Professional Pharmacy LTD
- Compounding Pharmacy
- Tempe, AZ
National Provider Identifier
1962577544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- FOOTHILLS PROFESSIONAL PHARMACY LTD
- Practice address
- 2727 W Baseline Rd Ste 1
Tempe, AZ 85283-1068 - Phone
- (480) 496-4444
- Fax
- (480) 496-4450
- NPI assigned
- Nov 21, 2006
- 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
- Pujan Patel
- Title
- President
- Phone
- (480) 496-4444
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Y007500 | AZ | |
| Compounding Pharmacy | 3336C0004X | Primary | ||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
2727 W Baseline Rd Ste 1
Tempe, AZ 85283-1068
Mailing address
2727 W Baseline Rd Ste 1
Tempe, AZ 85283-1068
Phone (480) 496-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991928 | Other | PK | |
| 959885 | Medicaid | AZ |
Other names 1
- FOOTHILLS PROFESSIONAL PHARMACY
National Provider Directory
National Provider DirectoryLocations
4545 E Chandler Blvd
Ste 100
Phoenix, AZ 85048
Phone (480) 496-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Gilbert, AZ
- NPI 1043541089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1962577544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 W BASELINE RD STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831068",
"telephone_number": "480-496-4444",
"fax_number": "480-496-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W BASELINE RD STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831068",
"telephone_number": "480-496-4444",
"fax_number": "480-496-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTHILLS PROFESSIONAL PHARMACY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "PUJAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-496-4444"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "Y007500",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1991928",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "959885",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOOTHILLS PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.