PHARMATEK PHARMACY INC (NPI# 1003235144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003235144 |
| Entity Type | Organization |
| Organization Name | PHARMATEK PHARMACY INC |
| Practice Address |
10995 N 99th Ave Suite 112 Peoria AZ 85345-5405 |
| Mailing Address |
1529 Rexford Dr Los Angeles CA 90035-3109 |
| Practice Telephone | 9285834781 |
| Practice Fax Number | 8775130770 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | MAHVASH KOHANBASH (PRESIDENT) |
| Authorized Official Telephone | 3105536462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Y005901 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PHARMACY LICENSE | Y005901 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PHARMATEK PHARMACY INC. | 11001 N. 99th Ave., Suite 112, Peoria, AZ 90266 |
| Washington State Corporations | PHARMATEK PHARMACY INC. | 11001 N. 99th Ave. #112, Peoria, AZ 85345 |
| Street Address |
10995 N 99TH AVE SUITE 112 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| 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 |
|---|---|---|---|---|
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1942756812 | Smiths Food & Drug Centers Inc | Pharmacy | 25401 N Lake Pleasant Pkwy, Peoria, AZ 85383-1351 | 2016-08-30 |
| 1700014446 | Extended Pharmacy LLC | Pharmacy | 121 State St Ste 1a, Peoria, IL 61602-1547 | 2009-07-01 |
| 1922249127 | Potters House Apothecary Inc | Pharmacy | 21585 N 77th Ave, Ste 1500, Peoria, AZ 85382 | 2009-03-18 |
| 1508004144 | Desert Sky Pharmacy, LLC | Pharmacy | 6750 W Thunderbird Rd Ste 103, Peoria, AZ 85381-5046 | 2009-02-03 |
| 1093883290 | Dolan Central Illinois Compounding LLC | Pharmacy | 5832 N Knoxville Ave Ste E, Peoria, IL 61614-4304 | 2006-12-04 |
| 1598853194 | Bashas Inc | Pharmacy | 7586 W Thunderbird Rd, Peoria, AZ 85381-6077 | 2006-10-10 |
| 1891800819 | Bashas Inc | Pharmacy | 20351 N Lake Pleasant Rd, Peoria, AZ 85382-9703 | 2006-08-20 |
| Find all providers in PEORIA | ||||
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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.