NUGENEREX PAZ1 LLC


Address: 6641 E Baywood Ave Ste A1, Mesa, AZ 85206-1723
Phone: 4808308907

NUGENEREX PAZ1 LLC (NPI# 1144797515) 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) 1144797515
Entity Type Organization
Organization Name NUGENEREX PAZ1 LLC
Practice Address 6641 E Baywood Ave Ste A1
Mesa
AZ 85206-1723
Mailing Address 39 Russett Rd
Sandy Hook
CT 06482-1432
Practice Telephone 4808308907
Enumeration Date 2018-10-24
Last Update Date 2018-10-24
Authorized Official Name MR. ANTHONY CRISCI (OFFICER)
Authorized Official Telephone 9145271183
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
NuGenerex RS Doing Business As Name - Organization
NuGenerex RX Doing Business As Name - Organization

Office Location

Street Address 6641 E BAYWOOD AVE STE A1
City MESA
State AZ
Zip Code 85206-1723

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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1164808648 Fatima Pharmacy, LLC Pharmacy 66 S Dobson Rd Ste 104, Mesa, AZ 85202-1175 2015-08-06
1023350451 Canaan Capital Management LLC Pharmacy 6641 E Baywood Ave Ste A-1, Mesa, AZ 85206 2013-03-24
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Competitor

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City MESA
Zip Code 85206

Improve Information

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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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