St Joseph Phar LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST JOSEPH PHAR LLC

Practice address

333 W Thomas Rd Ste 102
Phoenix, AZ 85013-4401

Phone

(602) 274-1140

Fax

(602) 274-1347

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Chris Coker

Title

Authorized Official

Phone

(602) 274-1140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1972133825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134401",
            "telephone_number": "602-274-1140",
            "fax_number": "602-274-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134401",
            "telephone_number": "602-274-1140",
            "fax_number": "602-274-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH PHAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "602-274-1140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, 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 Jan 20, 2020; 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.