Active NPI
CVS
- Community Health Clinic/Center
- Flagstaff, AZ
National Provider Identifier
1962821694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- S020237
- Legal business name
- CVS
- Practice address
- 3506 E Route 66
Flagstaff, AZ 86004-4033 - Phone
- (928) 526-6505
- NPI assigned
- Apr 9, 2014
- 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
- Sheryl Hanno
- Title
- Pharmacy Manager
- Phone
- (928) 526-6505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | S020237 | AZ | Primary |
Addresses
Primary practice location
3506 E Route 66
Flagstaff, AZ 86004-4033
Mailing address
3506 E Route 66
Flagstaff, AZ 86004-4033
Phone (928) 526-6505
National Provider Directory
National Provider DirectoryLocations
3506 E Route 66
Flagstaff, AZ 86004
Phone (928) 526-6505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397001600000",
"number": "1962821694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 E ROUTE 66",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860044033",
"telephone_number": "928-526-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 E ROUTE 66",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860044033",
"telephone_number": "928-526-6505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A",
"authorized_official_last_name": "HANNO",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "928-526-6505"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "AZ",
"license": "S020237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.