NPIMap

Organization Active NPI

C.a.R.E. Pharmacy, LLC

  • Community/Retail Pharmacy
  • Peoria, AZ
National Provider Identifier
1982104840
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y007457 Issued in AZ
Legal business name
C.A.R.E. PHARMACY, LLC
Practice address
13660 N 94TH Dr Ste D1
Peoria, AZ 85381-4836
Phone
(623) 974-0522
Fax
(623) 933-5787
NPI assigned
Feb 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Jeremy Johnson
Title
Operations Officer
Phone
(208) 220-8599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y007457 AZ Primary

Addresses

Primary practice location

13660 N 94TH Dr Ste D1
Peoria, AZ 85381-4836

Mailing address

13660 N 94TH Dr Ste F1
Peoria, AZ 85381-4232
Phone (623) 974-0522

Other identifiers 1

IdentifierTypeStateIssuer
2175953OtherPK

Other names 1

  • C.A.R.E. Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1982104840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814232",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE D1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.A.R.E. PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "208-220-8599"
    },
    "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": "Y007457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.A.R.E. Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.