FAVOUR ENTERPRISES L.L.C (NPI# 1184909707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184909707 |
| Entity Type | Organization |
| Organization Name | FAVOUR ENTERPRISES L.L.C |
| Other Organization Name | MERCY REXALL DRUGS |
| Practice Address |
3330 N 2nd St Phoenix AZ 85012-2368 |
| Mailing Address |
Po Box 5693 Goodyear AZ 85338-0612 |
| Practice Telephone | 6022302443 |
| Practice Fax Number | 6022747739 |
| Mailing Telephone | 6022302443 |
| Mailing Fax Number | 6022747739 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | OLUFEMI OMODARA (RPH) |
| Authorized Official Telephone | 6022302443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Y005425 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0357295 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy rexall drugs | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Favour Enterprises LLC | 150 Yorkshire Rd, Portsmouth, Virginia 23701 |
| Street Address |
3330 N 2ND ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832706 | Stephen Henry Ponas | Urology | 3330 N 2nd St, Ste 601, Phoenix, AZ 85012-2368 | 2005-06-21 |
| 1528435252 | Mylene Ray Plado | Nurse Practitioner | 3330 N 2nd St, Suite 300, Phoenix, AZ 85012-2368 | 2015-08-28 |
| 1730572074 | Advanced Diagnostic Labs LLC | Clinical Medical Laboratory | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2015-03-11 |
| 1043608318 | Srp Facility Pllc | Clinic/Center | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2015-01-08 |
| 1588068266 | John C Lincoln, LLC | Family Medicine | 3330 N 2nd St, Suite 500, Phoenix, AZ 85012-2368 | 2014-10-09 |
| 1851723449 | Akdhc, LLC | Internal Medicine | 3330 N 2nd St, Suite 206, Phoenix, AZ 85012-2368 | 2013-08-06 |
| 1790123834 | Sean Allan Marco | Internal Medicine | 3330 N 2nd St, Ste 300, Phoenix, AZ 85012-2369 | 2013-06-11 |
| 1801189519 | Srp Facility | Clinic/Center | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2011-05-27 |
| 1639461601 | Abbigail Lynn Tittle | Nurse Practitioner | 3330 N 2nd St, Suite 300, Phoenix, AZ 85012-2368 | 2011-05-10 |
| 1629371414 | Sanjay R Patel Md Pllc | Physical Medicine & Rehabilitation | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1245884014 | Rebecca Dodge | Pharmacy | 4611 E Shea Blvd Ste 180, Phoenix, AZ 85028-4258 | 2019-07-30 |
| 1437702156 | Roman Health Pharmacy, LLC | Pharmacy | 2331 W Royal Palm Rd Ste A, Phoenix, AZ 85021-4940 | 2019-07-22 |
| 1487115812 | Ascriberx America, LLC | Pharmacy | 8826 N 23rd Ave Ste C-5, Phoenix, AZ 85021-4154 | 2019-03-28 |
| 1346720349 | Medavail Pharmacy Inc. | Pharmacy | 2196 E Camelback Rd Ste 200, Phoenix, AZ 85016-4751 | 2018-08-19 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1619478047 | Coram Alternate Site Services, Inc. | Pharmacy | 4601 E Hilton Ave Ste 105, Phoenix, AZ 85034-6406 | 2018-02-21 |
| 1740796093 | Azbdbr, LLC | Pharmacy | 816 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-12-22 |
| 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.