UPTOWN PHARMACY OF KINGMAN , INC (NPI# 1376554949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376554949 |
| Entity Type | Organization |
| Organization Name | UPTOWN PHARMACY OF KINGMAN , INC |
| Other Organization Name | UPTOWN DRUG GOLDEN VALLEY |
| Practice Address |
4263 Us Highway 68 Ste B Golden Valley AZ 86413-8569 |
| Practice Telephone | 9285653900 |
| Practice Fax Number | 9285654004 |
| Mailing Telephone | 9285653900 |
| Mailing Fax Number | 9285654004 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | CHRIS HOWARD PROFFIT (OWNER) |
| Authorized Official Telephone | 9285653900 |
| Authorized Official Credential | B.S. PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y007048 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 235609 | 05 | |
| PK | 1990529 | 01 |
| Other Name | Type Code |
|---|---|
| UPTOWN DRUG GOLDEN VALLEY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912918582 | Uptown Pharmacy of Kingman, Inc | Pharmacy | 4495 N Bank St, Ste 1, Kingman, AZ 86409-2711 | 2006-08-10 |
| 1003827676 | Uptown Pharmacy of Kingman, Inc | Pharmacy | 2820 E Andy Devine Ave, Kingman, AZ 86401-4203 | 2006-08-10 |
| 1942348677 | Uptown Pharmacy of Kingman, Inc | Durable Medical Equipment & Medical Supplies | 2820 E Andy Devine Ave, Kingman, AZ 86401-4203 | 2007-02-02 |
| Street Address |
4263 US HIGHWAY 68 STE B |
| City | GOLDEN VALLEY |
| State | AZ |
| Zip Code | 86413-8569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417005075 | Morgan Consulting LLC | Family Medicine | 4263 Us Highway 68, Suite C, Golden Valley, AZ 86413-8569 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248399 | Barbara Frazey | Licensed Practical Nurse | 3404 Santa Maria Rd., Golden Valley, AZ 86413 | 2019-10-30 |
| 1356626063 | Erin Reiman | Registered Nurse | 3404 Santa Maria, Black Mountain Elementary, Golden Valley, AZ 86413 | 2011-10-13 |
| 1689716987 | John Randolph Scott | Dentist | 4626 W. English Dr., Az Dept. of Corrections - Kingman, Golden Valley, AZ 86413 | 2007-02-13 |
| 1972527836 | Charles R Lindsay | Family Medicine | 4263 Hwy 68, Ste C, Golden Valley, AZ 86413 | 2006-07-26 |
| 1073139572 | Alison Nichole Delk-peck | Specialist/Technologist | 4995 Us Highway 68, Golden Valley, AZ 86413-5500 | 2020-06-19 |
| 1922366947 | Living Waters Hospice LLC | Hospice Care, Community Based | 3711 Us Highway 68, Golden Valley, AZ 86413-7522 | 2012-04-27 |
| 1699830919 | Beulah K Kliment | Assisted Living Facility | 5080 Oatman Rd, Golden Valley, AZ 86413-7600 | 2006-12-27 |
| 1750526653 | Comprehensive Health Services | General Practice | 2675 W Oatman Rd, Golden Valley, AZ 86413-7701 | 2008-12-05 |
| 1699100552 | Elizabeth Gallion | Counselor | 4626 W English Dr, Golden Valley, AZ 86413-8238 | 2013-09-11 |
| 1558675496 | Valley Medical Medical Center LLC | Family Medicine | 4263 Hwy 68 Ste C, Golden Valley, AZ 86413-8569 | 2010-08-03 |
| Find all providers in zip 86413 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 86413 |
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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.