OLD PUEBLO DRUG (NPI# 1093859795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093859795 |
| Entity Type | Organization |
| Organization Name | OLD PUEBLO DRUG |
| Other Organization Name | OLD PUEBLO DRUG |
| Practice Address |
3272 Hwy 82 Sonoita AZ 85637 |
| Mailing Address |
Po Box 508 Sonoita AZ 85637-0508 |
| Practice Telephone | 5204550058 |
| Practice Fax Number | 5024554782 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | MYRON GINSBURG (OWNER) |
| Authorized Official Telephone | 5204550058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
YO2983 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 307787 | 05 | |
| PK | 1997300 | 01 |
| Other Name | Type Code |
|---|---|
| OLD PUEBLO DRUG | Doing Business As Name - Organization |
| Street Address |
3272 HWY 82 |
| City | SONOITA |
| State | AZ |
| Zip Code | 85637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210165 | Desert Streams Family Practice Pllc | Nurse Practitioner | 3123 Highway 83, Suite B, Sonoita, AZ 85637 | 2019-02-06 |
| 1821569062 | Tracy Romaine Vendituoli | Occupational Therapy Assistant | 19 La Montana Corte, Sonoita, AZ 85637 | 2018-12-16 |
| 1720480312 | Sonoita Sage Clinic, Pllc | Clinic/Center | 3123 Arizona Hwy 83 B, Sonoita, AZ 85637 | 2014-09-25 |
| 1609101302 | Sonoita Elgin Fire District | Ambulance | 3173 N Highway 83, Sonoita, AZ 85637 | 2009-10-14 |
| 1013160290 | Rchp-sierra Vista Inc | Clinic/Center | 3250 Highway 82, Sonoita, AZ 85637 | 2008-10-31 |
| 1750551842 | Michael J. Killebrew Dentistry Pllc | Dentist | 3121 S. Highway 83, Suite D, Sonoita, AZ 85637 | 2008-03-05 |
| 1134249071 | Rafael Alejandro Lopez | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2007-03-31 |
| 1932735347 | Freedom Chiropractic Foundation | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2020-03-17 |
| 1821509332 | Lopez House Calls Chiropractic Pllc | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2017-10-24 |
| 1417273574 | Angela Lopez | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2010-04-14 |
| Find all providers in zip 85637 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
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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.