MAYO CLINIC ARIZONA (NPI# 1255796496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255796496 |
Entity Type | Organization |
Organization Name | MAYO CLINIC ARIZONA |
Other Organization Name | MAYO CLINIC BUILDING PHOENIX OUTPATIENT PHARMACY |
Practice Address |
5881 E Mayo Blvd. #1-304 Phoenix AZ 85054-4505 |
Mailing Address |
21 2nd St Sw Suite 1-18 Rochester MN 55902-3026 |
Practice Telephone | 4803424100 |
Practice Fax Number | 4803424180 |
Mailing Telephone | 5072843390 |
Enumeration Date | 2015-12-15 |
Last Update Date | 2016-04-06 |
Authorized Official Name | JEFFREY FROISLAND (CFO) |
Authorized Official Telephone | 4803018940 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Y006569 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2155895 | 01 |
Other Name | Type Code |
---|---|
Mayo Clinic Building Phoenix Outpatient Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871099663 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 2120 E Rio Salado Pkwy, Tempe, AZ 85281-3002 | 2018-04-02 |
1083079099 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5881 E. Mayo Blvd, #3-105, Phoenix, AZ 85054-4504 | 2015-12-17 |
1487663332 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-08-07 |
1750399895 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13737 N 92nd St, Scottsdale, AZ 85260-7434 | 2006-08-04 |
1134190093 | Mayo Clinic Arizona | Pharmacy | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
1508837469 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
1265403133 | Mayo Clinic Arizona | Rehabilitation Unit | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
1427029396 | Mayo Clinic Arizona | Clinic/Center | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
1528039484 | Mayo Clinic Arizona | Clinical Medical Laboratory | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
1255302113 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
Street Address |
5881 E MAYO BLVD. #1-304 |
City | PHOENIX |
State | AZ |
Zip Code | 85054-4505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
Find all providers in zip 85054 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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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1215567011 | Kleins of Jacksonville Inc | Pharmacy | 14330 Jarrettsville Pike, Phoenix, MD 21131-1743 | 2020-01-21 |
1467630012 | Mountain Park Health Center | Pharmacy | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2008-02-06 |
1578741120 | Mountain Park Health Center | Pharmacy | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2008-02-06 |
1497848824 | Banner Health | Pharmacy | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2006-09-30 |
1598867996 | Banner Health | Pharmacy | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2006-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154989168 | Community Hospital Association, Inc. | Pharmacy | 26750b S. Santa Fe Rd., Congress, AZ 85332 | 2019-06-04 |
1154688927 | Marana Health Center Inc | Pharmacy | 899 N Wilmot Rd Ste B, Tucson, AZ 85711-1712 | 2012-04-18 |
1245357706 | West Kingman Pharmacy, LLC | Pharmacy | 3135 N Stockton Hill Rd, Kingman, AZ 86401 | 2007-03-22 |
1649334442 | North Country Healthcare, Inc. | Pharmacy | 2920 North 4th Street, Flagstaff, AZ 86004 | 2006-12-19 |
1730295684 | State of Arizona | Pharmacy | 1295 N Martin, Tucson, AZ 85721-0001 | 2006-08-22 |
1023122843 | Cardiojost, Inc | Pharmacy | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2006-08-18 |
1376502054 | Sunset Community Health Center Inc | Pharmacy | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-03-21 |
1275519241 | El Rio Health Center (southwest) | Pharmacy | 1510 W Commerce Court, Tucson, AZ 85746-6015 | 2005-12-21 |
1447242417 | Cigna Health Care of Arizona Inc | Pharmacy | 1920 E Baseline Rd, Tempe, AZ 85283-1511 | 2005-08-16 |
1992797930 | Cigna Health Care of Arizona Inc | Pharmacy | 9069 W Thunderbird, Peoria, AZ 85381 | 2005-08-16 |
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.