NPIMap

Organization Active NPI

Mayo Pharmacy Scottsdale IV

  • Community/Retail Pharmacy
  • Scottsdale, AZ
National Provider Identifier
1962817437
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y002857 Issued in AZ
Legal business name
MAYO PHARMACY SCOTTSDALE IV
Practice address
13400 E Shea Blvd
3Rd Floor - Room # 306E
Scottsdale, AZ 85259-5452
Phone
(480) 301-7650
Fax
(480) 301-9008
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Yvonne Grover
Title
Supv-Pharmacist
Phone
(480) 301-7650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y002857 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
3Rd Floor - Room # 306E
Scottsdale, AZ 85259-5452

Mailing address

13400 E Shea Blvd
3Rd Floor - Room # 306E
Scottsdale, AZ 85259-5452
Phone (480) 301-7650

Other identifiers 1

IdentifierTypeStateIssuer
2146432OtherPK

Other names 1

  • MAYO PHARMACY SCOTTSDALE IV Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mayo Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

13400 E Shea Blvd
Fl 3
Scottsdale, AZ 85259
Phone (480) 301-7650

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1962817437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "address_2": "3RD FLOOR - ROOM # 306E",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-7650",
            "fax_number": "480-301-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "address_2": "3RD FLOOR - ROOM # 306E",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-7650",
            "fax_number": "480-301-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO PHARMACY SCOTTSDALE IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "SUPV-PHARMACIST",
        "authorized_official_telephone_number": "480-301-7650"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y002857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYO PHARMACY SCOTTSDALE IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.