WEST KINGMAN PHARMACY, LLC


Address: 3135 N Stockton Hill Rd, Kingman, AZ 86401
Phone: 9283771350

WEST KINGMAN PHARMACY, LLC (NPI# 1245357706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245357706
Entity Type Organization
Organization Name WEST KINGMAN PHARMACY, LLC
Practice Address 3135 N Stockton Hill Rd
Kingman
AZ 86401
Mailing Address 1099 Sunrise Ave
Kingman
AZ 86401-6825
Practice Telephone 9283771350
Mailing Telephone 9287184852
Mailing Fax Number 9287184856
Enumeration Date 2007-03-22
Last Update Date 2020-03-11
Authorized Official Name KASSIE LYNN VILLA (PHARMACY MANAGER)
Authorized Official Telephone 9283771350
Authorized Official Credential CPHT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
4696 AZ Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3505 Western Ave, Kingman, AZ 864093011 9286815599 9287184856

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WEST KINGMAN PHARMACY, LLC 3135 N Stockton Hill Rd, Kingman, AZ 86401-4165

Office Location

Street Address 3135 N STOCKTON HILL RD
City KINGMAN
State AZ
Zip Code 86401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760878821 West Kingman Pharmacy LLC Pharmacy 3135 N Stockton Hill Rd, Kingman, AZ 86401 2015-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053858704 Robert Cole Nurse Practitioner 3545 Cheyenne Ave, King,an, AZ 86401 2017-01-19
1710420286 Acadia Healthcare Inc Nurse Practitioner 2699 E Andy Devine, Suite B, Kingman, AZ 86401 2016-11-30
1174079800 Kenneth Mcadow Physical Therapist 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 2016-09-01
1649659483 Tracie Hirz Case Manager/Care Coordinator 3656 Packsaddle Road, Kingman, AZ 86401 2015-05-27
1548657695 Chelsea Presbrey Family Medicine 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 2015-04-15
1649617226 Abubakr Abdelmunim Tagelsir Abdelaziz Internal Medicine 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 2013-05-23
1205173325 Patricia Jean Marko Social Worker 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 2013-01-09
1770835316 Hae Young Lee Dentist 2058 Maya Dr., Kingman, AZ 86401 2012-10-05
1255681623 Hilary Radler Specialist/Technologist 3033 Macdonald, Kingman, AZ 86401 2012-09-13
1477836880 Goodwill of Northern Arizona Exclusive Provider Organization 2369 Airway Avenue, Kingman, AZ 86401 2011-09-21
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043709785 Kingman Drug Inc Pharmacy 211 N Main St, Kingman, KS 67068-1334 2018-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336749860 Adepa Pharmacy Pllc Pharmacy 8770 N Thornydale Rd, Tucson, AZ 85742-9096 2020-10-26
1801493705 Cd Pharmacy LLC Pharmacy 2710 S Roosevelt St, Tempe, AZ 85282-2089 2020-10-04
1326695545 Lifecare Pharmacy Yuma LLC Pharmacy 2514 South Ave A, Suite 2, Yuma, AZ 85365 2019-08-22
1912366774 Pharmcare Usa of Greater Phoenix LLC Pharmacy 1835 S Alvernon Way Ste 202, Tucson, AZ 85711-5693 2016-02-22
1710388384 Pharmacy Care Provider LLC Pharmacy 1135 N Jefferson Ave, Tucson, AZ 85712-5009 2014-09-15
1912312315 East Valley Patient Care Services Pharmacy 218 W Hampton Ave, #4, Mesa, AZ 85210-5231 2014-06-24
1235565581 Guardian Pharmacy of Tucson LLC Pharmacy 10900 N Stallard Pl, Oro Valley, AZ 85737-9544 2013-09-18
1972944221 Genoa Healthcare, LLC Pharmacy 1500 S White Mountain Rd, Bldg 3, Suite 302, Show Low, AZ 85901-7929 2013-07-16
1730422601 Genoa Healthcare, LLC Pharmacy 10240 N 31st Ave Ste 210, Phoenix, AZ 85051-9565 2013-03-29
1093067670 Genoa Healthcare, LLC Pharmacy 15317 W Bell Rd Ste 106, Suite 106, Surprise, AZ 85374-3901 2012-10-08
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Competitor

Search similar providers

City KINGMAN
Zip Code 86401

Improve Information

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Dataset Information

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.

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