MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (NPI# 1568407880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568407880 |
| Entity Type | Organization |
| Organization Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Other Organization Name | VALLEYWISE COMMUNITY HEALTH CENTER - AVONDALE PHARMACY |
| Practice Address |
950 E Van Buren St Avondale AZ 85323-1506 |
| Practice Telephone | 6233446823 |
| Practice Fax Number | 6233446806 |
| Mailing Telephone | 6233446823 |
| Mailing Fax Number | 6233446806 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | ANNA SOGARD (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6023445253 |
| 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 |
Y004179 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1990727 | 01 | |
| AZ | 155706 | 05 |
| Other Name | Type Code |
|---|---|
| Avondale FHC Pharmacy | Doing Business As Name - Organization |
| VALLEYWISE COMMUNITY HEALTH CENTER - AVONDALE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1710922927 | Maricopa County Special Health Care District | Pharmacy | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2006-06-19 |
| 1114962438 | Maricopa County Special Health Care District | Pharmacy | 811 S Hamilton St, Chandler, AZ 85225-6308 | 2006-06-19 |
| 1669936472 | Maricopa County Special Health Care District | Pharmacy | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2019-01-25 |
| 1104331115 | Maricopa County Special Health Care District | Clinic/Center | 59 S Hibbert, Mesa, AZ 85210-1414 | 2017-12-13 |
| 1043679327 | Maricopa County Special Health Care District | Clinic/Center | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2016-02-16 |
| 1205295581 | Maricopa County Special Health Care District | Clinic/Center | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2016-02-16 |
| 1851750137 | Maricopa County Special Health Care District | Clinic/Center | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2016-02-16 |
| Street Address |
950 E VAN BUREN ST |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191397 | Daniel Fimbres | Nurse Practitioner | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2017-08-23 |
| 1043679327 | Maricopa County Special Health Care District | Clinic/Center | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2016-02-16 |
| 1932505401 | Amparo Estera Macariola | Nurse Practitioner | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-11-11 |
| 1598177461 | Tina Mckenzie | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-05-28 |
| 1982022133 | Maricopa County Special Health Care District | General Acute Care Hospital | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-04-04 |
| 1093038242 | Jessica Aleah Holmes | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2010-03-02 |
| 1306090998 | Goshtasb Javdan | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2008-11-09 |
| 1356482426 | Kevin Gerard Lopez | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2007-02-09 |
| 1083632756 | Melissa Villamor | Dentist | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| 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 |
|---|---|---|---|---|
| 1255977245 | Jefferson Community Health Care Centers Inc | Pharmacy | 3932 Highway 90 W, Avondale, LA 70094-2648 | 2019-11-25 |
| 1265906572 | Medavail Pharmacy Inc. | Pharmacy | 235 W Western Ave, Avondale, AZ 85323-1848 | 2019-01-20 |
| 1073039061 | Alex M Negrusa | Pharmacy | 280 N Avondale Blvd, Avondale, AZ 85323-6902 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.