JOHN C LINCOLN, LLC


Address: 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013
Phone: 6237801999

JOHN C LINCOLN, LLC (NPI# 1891246773) 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) 1891246773
Entity Type Organization
Organization Name JOHN C LINCOLN, LLC
Other Organization Name DEER VALLEY PHARMACY
Practice Address 19636 N 27th Ave
Suite 308
Phoenix
AZ 85027-4013
Mailing Address 2500 W Utopia Rd
Suite 100
Phoenix
AZ 85027-4171
Practice Telephone 6237801999
Practice Fax Number 6235160950
Mailing Telephone 6234346200
Enumeration Date 2016-10-17
Last Update Date 2017-03-31
Authorized Official Name NATHAN ANSPACH (SR. VICE PRESIDENT)
Authorized Official Telephone 6234346200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site AZ Suppliers

Other Provider/Organization Names

Other Name Type Code
Deer Valley Pharmacy Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518318328 John C Lincoln, LLC Non-Pharmacy Dispensing Site 6220 W Bell Rd, Suite 100, Glendale, AZ 85308-3718 2016-06-23
1427681592 John C Lincoln, LLC Family Medicine 20745 N Scottsdale Rd Ste 115, Scottsdale, AZ 85255-6453 2020-02-18
1588068266 John C Lincoln, LLC Family Medicine 3330 N 2nd St, Suite 500, Phoenix, AZ 85012-2368 2014-10-09

Office Location

Street Address 19636 N 27TH AVE
SUITE 308
City PHOENIX
State AZ
Zip Code 85027-4013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386647618 Jeanne Lamont Obstetrics & Gynecology 19636 N 27th Ave, Ste 401, Phoenix, AZ 85027-4021 2005-05-31
1093128316 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 19636 N 27th Ave, Suite 106, Phoenix, AZ 85027-4013 2014-06-04
1033522370 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 2014-06-04
1639513047 Jessica Rose Williams Family Medicine 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 2013-04-29
1740587534 North Mountain Imaging Specialists, LLC Radiology 19636 N 27th Ave, Suite Ll1, Phoenix, AZ 85027-4013 2011-02-15
1487958583 Arizona Pharmacy, LLC Pharmacy 19636 N 27th Ave, Suite 104, Phoenix, AZ 85027-4013 2011-01-04
1205158029 Orthopedic Specialists of North America, Pllc Orthopaedic Surgery 19636 N 27th Ave, Suite 401, Phoenix, AZ 85027-4013 2010-02-20
1871727677 North Valley Podiatry, LLC Podiatrist 19636 N 27th Ave, Suite 208, Phoenix, AZ 85027-4013 2009-05-07
1003056425 Northwest Oncology & Hematology, Pllc Internal Medicine 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 2009-02-25
1194997262 Traikovich Cosmetic Surgery, P.C. Otolaryngology 19636 N 27th Ave, Ste 206, Phoenix, AZ 85027-4015 2008-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306312 Ashley Nicole Felipe Registered Nurse 25700 N 21st Ave, Phoenix, AZ 85027 2020-08-10
1942784376 Crystal Rodriguez Dentist 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 2018-09-21
1790284776 Lydia Kuuipo Chong Nurse Practitioner 20414 N 27th Ave #300, Phoenix, AZ 85027 2018-02-06
1457867004 Kristi Marie Mathews Nurse Practitioner 19829 N 29th Avenue, Phoenix, AZ 85027 2017-12-19
1710348362 The Empower House, LLC Community Based Residential Treatment Facility, Mental Illness 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 2016-03-10
1972979656 Dr Daniel H Yohannes D.d.s., PC Dentist 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 2015-08-17
1013346857 Dentistry At 35th Avenu Dentist 18635 N 35th Avenue, Phoenix, AZ 85027 2013-11-02
1437592102 Ammar Alobaidy Psychiatry & Neurology 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 2013-04-12
1588900021 Jill Elizabeth Maroscia Social Worker 19636 N 27th Ave #106, Phoenix, AZ 85027 2013-01-02
1124394515 Sfjg Holdings LLC Dentist 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 2012-03-29
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
1609038439 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 6036 N. 19th Ave, Suite 312, Phoenix, AZ 85015 2008-07-02
1306862255 Rm Alliance Family Health Ctr Inc Non-Pharmacy Dispensing Site 13821 N 35th Dr Ste 1, Phoenix, AZ 85053-5541 2006-07-14
1720449689 Arizona Urology Specialists, Pllc Non-Pharmacy Dispensing Site 1313 E Osborn Rd Ste 150, Phoenix, AZ 85014-5688 2016-03-18
1114333432 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 2014-07-08
1093128316 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 19636 N 27th Ave, Suite 106, Phoenix, AZ 85027-4013 2014-06-04
1033522370 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 2014-06-04
1871906222 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 3811 E Bell Rd, Suite 100, Phoenix, AZ 85032-2138 2014-06-03
1316358013 Banner Health Non-Pharmacy Dispensing Site 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 2014-05-15
1649690603 Geriatric Specialties of Arizona PC Non-Pharmacy Dispensing Site 6838 N 23rd Ave, Phoenix, AZ 85015-1056 2014-04-17
1154740348 Afc of Phoenix, Pllc Non-Pharmacy Dispensing Site 2 N Central Ave, Suite 120, Phoenix, AZ 85004-2322 2014-04-15
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Competitor

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City PHOENIX
Zip Code 85027

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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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