AVELLA OF ARROWHEAD, INC (NPI# 1598755548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598755548 |
| Entity Type | Organization |
| Organization Name | AVELLA OF ARROWHEAD, INC |
| Practice Address |
17612 N 59th Ave Glendale AZ 85308-3795 |
| Mailing Address |
1606 W Whispering Wind Dr Phoenix AZ 85085-0678 |
| Practice Telephone | 6029428270 |
| Practice Fax Number | 6029422975 |
| Mailing Telephone | 6234341700 |
| Mailing Fax Number | 6234343673 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | JOHN D MUSIL (CEO) |
| Authorized Official Telephone | 6234343657 |
| Is Organization Subpart | Y |
| Parent Organization Name | APOTHECARY HOLDINGS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005088 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 739948 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0327026 | 01 |
| Street Address |
17612 N 59TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959477 | Vladimir Troche | Obstetrics & Gynecology | 17612 N 59th Ave, Suite 100, Glendale, AZ 85308-3795 | 2005-08-17 |
| 1427326123 | Daniel Lee Watterson | Pharmacist | 17612 N 59th Ave, Glendale, AZ 85308-3795 | 2011-12-08 |
| 1417287434 | Amy Jean Delano | Pharmacist | 17612 N 59th Ave, Glendale, AZ 85308-3795 | 2010-01-14 |
| 1639266919 | Ann Marie Collins | Nurse Practitioner | 17612 N 59th Ave, Suite 100, Glendale, AZ 85308-3795 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 1578179859 | Y&g Pharmacy Inc | Pharmacy | 8017 Myrtle Ave, Glendale, NY 11385-7642 | 2020-09-22 |
| 1144845819 | Arka Rx Inc | Pharmacy | 621 E Glenoaks Blvd Ste C, Glendale, CA 91207-1775 | 2020-06-09 |
| 1356971006 | Myrtle Meds Inc | Pharmacy | 7617 Myrtle Ave, Glendale, NY 11385-7446 | 2020-01-22 |
| 1588201149 | Esmeralda Pharmacy Inc | Pharmacy | 6555 Myrtle Ave, Glendale, NY 11385-7028 | 2019-12-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1558929455 | Central Drugs Inc | Pharmacy | 6715 Central Ave, Glendale, NY 11385-6633 | 2019-06-05 |
| 1578033718 | Hayat Pharmacy 14 | Pharmacy | 2501 W Silver Spring Dr Ste 5, Glendale, WI 53209-4217 | 2018-11-30 |
| 1881184117 | Nairi Hayrapetian | Pharmacy | 2216 Sherwood Pl, Glendale, CA 91206-1138 | 2018-05-11 |
| 1316468432 | Cover Rx Inc | Pharmacy | 1811 W Glenoaks Blvd, Glendale, CA 91201-4376 | 2017-06-28 |
| 1649700832 | First Stop Pharmacy Inc | Pharmacy | 1577 E Chevy Chase Dr Ste 130, Glendale, CA 91206-4740 | 2017-06-19 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on AVELLA OF ARROWHEAD, INC.
| 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.