AFC OF PHOENIX, PLLC (NPI# 1154740348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154740348 |
| Entity Type | Organization |
| Organization Name | AFC OF PHOENIX, PLLC |
| Practice Address |
2 N Central Ave Suite 120 Phoenix AZ 85004-2322 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 6022964060 |
| Practice Fax Number | 6022964146 |
| Mailing Telephone | 3109434180 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | LISA M. PACE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6022964060 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | Y |
| Parent Organization Name | AFC OF PHOENIX, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | AP5397 | AZ | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619392362 | Afc of Phoenix, Pllc | Durable Medical Equipment & Medical Supplies | 2 N Central Ave Ste 120, Phoenix, AZ 85004-2972 | 2014-03-04 |
| Street Address |
2 N CENTRAL AVE SUITE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407053804 | Bradley Brask | Radiologic Technologist | 2 N Central Ave, Suite 170-284, Phoenix, AZ 85004-2322 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609038439 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 6036 N. 19th Ave, Suite 312, Phoenix, AZ 85015 | 2008-07-02 |
| 1306862255 | Rm Alliance Family Health Ctr Inc | Non-Pharmacy Dispensing Site | 13821 N 35th Dr Ste 1, Phoenix, AZ 85053-5541 | 2006-07-14 |
| 1891246773 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2016-10-17 |
| 1720449689 | Arizona Urology Specialists, Pllc | Non-Pharmacy Dispensing Site | 1313 E Osborn Rd Ste 150, Phoenix, AZ 85014-5688 | 2016-03-18 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| 1093128316 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 106, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1033522370 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1871906222 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 3811 E Bell Rd, Suite 100, Phoenix, AZ 85032-2138 | 2014-06-03 |
| 1316358013 | Banner Health | Non-Pharmacy Dispensing Site | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2014-05-15 |
| 1649690603 | Geriatric Specialties of Arizona PC | Non-Pharmacy Dispensing Site | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2014-04-17 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.