MARIPOSA PHARMACY (NPI# 1497738017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497738017 |
| Entity Type | Organization |
| Organization Name | MARIPOSA PHARMACY |
| Practice Address |
1852 N Mastick Way Nogales AZ 85621-1063 |
| Practice Telephone | 5203775417 |
| Practice Fax Number | 5203775419 |
| Mailing Telephone | 5203775417 |
| Mailing Fax Number | 5203775419 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES WELDEN (CEO) |
| Authorized Official Telephone | 5202811550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 3164 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 062761 | 05 |
| Street Address |
1852 N MASTICK WAY |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393298 | Valerie A Wohl | Family Medicine | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2005-11-15 |
| 1205450046 | Vincent Tsang | Pharmacist | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2020-06-06 |
| 1326524083 | Sonia I Guerrero | Registered Nurse | 1852 N Mastick Way, Nogales, AZ 85621-1061 | 2018-07-16 |
| 1891222105 | Kacy Novotny | Nurse Practitioner | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2017-05-17 |
| 1437507654 | Jorge Omar Flores Lopez | Internal Medicine | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2016-05-27 |
| 1740663509 | Marivic Ashcroft | Nurse Practitioner | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2015-06-29 |
| 1487041216 | Mary Carmen Garcia-kumirov | Family Medicine | 1852 N Mastick Way, Nogales, AZ 85621 | 2015-04-20 |
| 1619365954 | Greta Liz Lopez | Nurse Practitioner | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2015-01-08 |
| 1861804452 | Crystalynn Woodard | Obstetrics & Gynecology | 1852 N Mastick Way, Nogales, AZ 85621 | 2014-05-29 |
| 1962813352 | Nourhan Mustafa | Obstetrics & Gynecology | 1852 N Mastick Way, Nogales, AZ 85621-1063 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| 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 |
|---|---|---|---|---|
| 1992736003 | K Mart Corp | Pharmacy | 300 W Mariposa Rd, Nogales, AZ 85621-1043 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244861 | Canyonlands Community Healthcare | Pharmacy | 103 Fairgrounds Rd, Duncan, AZ 85534-8234 | 2020-10-26 |
| 1790384212 | Copilot Provider Support Services | Pharmacy | 8700 East Pinnacle Peak Road Ste 111, Johnson Bank Building, Scottsdale, AZ 85255-8525 | 2020-10-26 |
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1366050536 | Mariposa Community Health Center | Pharmacy | 1103 Circulo Mercado, Rio Rico, AZ 85648-6248 | 2020-07-14 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1952924847 | Cheryl Mackie | Pharmacy | 8010 E Mcdowell Rd Ste 201-206, Scottsdale, AZ 85257-3867 | 2020-05-26 |
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1649813320 | Hi-health-rx LLC | Pharmacy | 15207 N 75th St Ste 105, Scottsdale, AZ 85260-2445 | 2019-10-24 |
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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.