ARIZONA CVS STORES LLC (NPI# 1962448043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962448043 |
| Entity Type | Organization |
| Organization Name | ARIZONA CVS STORES LLC |
| Other Organization Name | CVS PHARMACY 09245 |
| Practice Address |
12409 N Tatum Blvd Phoenix AZ 85032-7708 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6029967320 |
| Enumeration Date | 2006-06-20 |
| 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 | 0353502 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 09245 | 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 |
| 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 |
| 1841234218 | Arizona Cvs Stores LLC | Pharmacy | 23215 N Pima Rd, Scottsdale, AZ 85255-4315 | 2006-06-16 |
| Street Address |
12409 N TATUM BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228447 | Taylor Patrick Gerlock | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2019-07-30 |
| 1679042485 | Cesar Figueroa | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2018-11-21 |
| 1508344292 | Michelle Cox | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2018-08-03 |
| 1780192468 | Sean Mcclory | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2018-01-17 |
| 1588032155 | Shaneel Patel | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2015-09-12 |
| 1043620164 | Slavica Grabovac | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2014-04-28 |
| 1144640962 | Matthew Scott Warrick | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2014-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| 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.