COMMUNITY DRUGSTORE II LLC (NPI# 1306033881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306033881 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DRUGSTORE II LLC |
| Other Organization Name | COMMUNITY PHARMACY II |
| Practice Address |
777 W Southern Ave 415 Mesa AZ 85210-5008 |
| Mailing Address |
7701 E Gray Rd Suite 107 Scottsdale AZ 85260-6958 |
| Practice Telephone | 4804645472 |
| Practice Fax Number | 4804645485 |
| Mailing Telephone | 6024686337 |
| Mailing Fax Number | 4802124933 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | JOANNA GUBERNICK (MANAGER) |
| Authorized Official Telephone | 6024686337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y004893 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0355025 | 01 | |
| AZ | 263561 | 05 |
| Other Name | Type Code |
|---|---|
| COMMUNITY PHARMACY II | Doing Business As Name - Organization |
| Street Address |
777 W SOUTHERN AVE 415 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287364 | Heather R Betsko | Optometrist | 777 W Southern Ave, Suite 515, Mesa, AZ 85210-5008 | 2005-09-29 |
| 1336654383 | Native Health | Clinic/Center | 777 W Southern Ave, Bldg E, Ste 501, Mesa, AZ 85210-5062 | 2017-12-12 |
| 1750576856 | Heather Betsko, LLC | Optometrist | 777 W Southern Ave, Suite 515, Mesa, AZ 85210-5008 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1144797515 | Nugenerex Paz1 LLC | Pharmacy | 6641 E Baywood Ave Ste A1, Mesa, AZ 85206-1723 | 2018-10-24 |
| 1922547447 | Sun Pharmacy | Pharmacy | 4838 E Baseline Rd Ste 127, Mesa, AZ 85206-4673 | 2017-02-16 |
| 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 |
| 1629296322 | Caresite Pharmacy of Arizona LLC | Pharmacy | 10238 E. Hampton Ave, Suite 107, Mesa, AZ 85208 | 2007-04-20 |
| 1629157557 | Walgreen Co | Pharmacy | 9230 E Main St, Mesa, AZ 85207-8803 | 2006-11-02 |
| 1649374539 | German Dobson Cvs, L.L.C. | Pharmacy | 9152 E Brown Rd, Mesa, AZ 85207-4339 | 2006-09-12 |
| 1386748275 | German Dobson Cvs, L.L.C. | Pharmacy | 360 N Val Vista Dr, Mesa, AZ 85213-8624 | 2006-09-12 |
| 1922102813 | German Dobson Cvs, L.L.C. | Pharmacy | 5954 E Mcdowell Rd, Mesa, AZ 85215-9607 | 2006-09-12 |
| Find all providers in MESA | ||||
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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.