ARIZONA CVS STORES LLC (NPI# 1851332761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851332761 |
| Entity Type | Organization |
| Organization Name | ARIZONA CVS STORES LLC |
| Other Organization Name | CVS PHARMACY 09290 |
| Practice Address |
4430 E Ray Rd Phoenix AZ 85044-6092 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4807851006 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0353831 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 09290 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549181 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 24865 N Lake Pleasant Parkway, Peoria, AZ 85383-1280 | 2014-04-17 |
| 1285930164 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 5125 W Olive Ave, Glendale, AZ 85302-4213 | 2011-02-10 |
| 1780620831 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2006-06-20 |
| 1962448043 | Arizona Cvs Stores LLC | Pharmacy | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2006-06-20 |
| 1871539924 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 325 W Apache Trail, Apache Junction, Apache Junction, AZ 85120-3954 | 2006-06-20 |
| 1013952019 | Arizona Cvs Stores LLC | Pharmacy | 1555 S Avenue B, Yuma, AZ 85364-4584 | 2006-06-17 |
| 1245274596 | Arizona Cvs Stores LLC | Pharmacy | 3785 W Ina Rd, Tucson, AZ 85741-2247 | 2006-06-16 |
| 1518901867 | Arizona Cvs Stores LLC | Pharmacy | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2006-06-16 |
| 1972547222 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10720 W Bell Rd, Sun City, AZ 85351-1073 | 2006-06-16 |
| 1063456317 | Arizona Cvs Stores LLC | Pharmacy | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2006-06-16 |
| Street Address |
4430 E RAY RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478330 | Scott Volker | Pharmacist | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2020-08-22 |
| 1629423413 | Lesley Jorgensen Klock | Nurse Practitioner | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2016-04-28 |
| 1437522489 | Sung Son | Nurse Practitioner | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2015-11-12 |
| 1801262555 | Iosef Repta | Pharmacist | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2015-08-17 |
| 1942609888 | Debra Diane Stalker | Pharmacist | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2014-08-16 |
| 1134435506 | Angela Marie Bribiescas | Nurse Practitioner | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2010-08-24 |
| 1073622932 | Janelle Christine Rastad | Nurse Practitioner | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2006-08-30 |
| 1477589711 | Greer Leadbeater | Registered Nurse | 4430 E Ray Rd, Phoenix, AZ 85044-6092 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| 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.