FRY'S PHARMACY (NPI# 1447704887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447704887 |
| Entity Type | Organization |
| Organization Name | FRY'S PHARMACY |
| Practice Address |
155 W Combs Rd San Tan Valley AZ 85140-9108 |
| Practice Telephone | 4804746601 |
| Mailing Telephone | 4804746601 |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-14 |
| Authorized Official Name | MICHAEL DAVID VOIGHT (PHARMACY INTERN) |
| Authorized Official Telephone | 4803907909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | I011203 | AZ | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154775989 | Fry's Pharmacy | Clinic/Center | 2480 N Swan Rd, Tucson, AZ 85712-5701 | 2016-04-18 |
| 1548678600 | Fry's Pharmacy | Community/Behavioral Health | 4036 N 1st Ave, Tucson, AZ 85719-1005 | 2014-07-31 |
| 1912287095 | Fry's Pharmacy | Pharmacy | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2011-08-22 |
| 1366759326 | Fry's Pharmacy | Clinic/Center | 2001 E Irvington Rd, Tucson, AZ 85714-1847 | 2010-09-10 |
| Street Address |
155 W COMBS RD |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85140-9108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043479819 | Smiths Food & Drug Centers Inc | Pharmacy | 155 W Combs Rd, San Tan Valley, AZ 85140-9108 | 2008-06-05 |
| 1417439274 | Tammatha Lynn Jones | Nurse Practitioner | 155 W Combs Rd, San Tan Valley, AZ 85140-9108 | 2018-08-29 |
| 1083013148 | Mary Katherine Argenbright | Nurse Practitioner | 155 W Combs Rd, San Tan Valley, AZ 85140-9108 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730708017 | 1 Source Labs and Medical Services LLC | Point of Service | 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824 | 2020-04-16 |
| 1639733827 | Capable Home Solutions | Point of Service | 1625 S 7th Ave, Yuma, AZ 85364-5553 | 2019-04-24 |
| 1912444977 | Equally One | Point of Service | 3102 N 39th Ave, Phoenix, AZ 85019-4102 | 2017-01-27 |
| 1912443144 | Hospice Promise of Mohave LLC | Point of Service | 840 W University Dr Ste 1, Mesa, AZ 85201-5529 | 2017-01-11 |
| 1194277426 | Women's Medical & Gyn Centre, LLC | Point of Service | 2055 Highway 95, Bullhead City, AZ 86442-6004 | 2016-11-03 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1376908996 | Westchester Tbi Home Care LLC | Point of Service | 1046 E Westchester Dr, Tempe, AZ 85283-3039 | 2015-12-25 |
| 1144692872 | Solera Health, Inc. | Point of Service | 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718 | 2015-10-21 |
| 1609245323 | Walter Edward Heuck | Point of Service | 15113 W Las Brizas Ln, Sun City West, AZ 85375-3056 | 2015-09-23 |
| 1962878744 | Gimo Pharmacuetical Services | Point of Service | 12809 W Indianola Ave, Avondale, AZ 85392-6723 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
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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.