FLAGSTAFF MEDICAL CENTER (NPI# 1649348442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649348442 |
| Entity Type | Organization |
| Organization Name | FLAGSTAFF MEDICAL CENTER |
| Other Organization Name | FLAGSTAFF PHARMACY |
| Practice Address |
77 W Forest Ave Ste 104 Flagstaff AZ 86001-1479 |
| Practice Telephone | 9287732565 |
| Practice Fax Number | 9282143899 |
| Mailing Telephone | 9287732565 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | YARI VALLE (PHARMACY MANAGER) |
| Authorized Official Telephone | 9282143663 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y002531 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 192104 | 05 | |
| PK | 1988959 | 01 |
| Other Name | Type Code |
|---|---|
| FLAGSTAFF PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220009 | Flagstaff Medical Center | Internal Medicine | 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3126 | 2008-10-16 |
| 1780635078 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2006-05-12 |
| 1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
| 1972814259 | Flagstaff Medical Center | Neurological Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2010-07-01 |
| 1447499546 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2009-02-12 |
| 1982871067 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-05-08 |
| 1689847717 | Flagstaff Medical Center | Family Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-04-09 |
| 1316119589 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1962674135 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1407028673 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| Street Address |
77 W FOREST AVE STE 104 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133059 | Gretchen Karr Schaber | Nurse Practitioner | 77 W Forest Ave, Ste 302, Flagstaff, AZ 86001-1481 | 2005-06-09 |
| 1740728088 | Susan Dale Wall | Social Worker | 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001-1479 | 2017-02-07 |
| 1326408527 | Taye Nelson | Nurse Practitioner | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2016-03-01 |
| 1639564453 | Mary Elizabeth Smith Iles | Pediatrics | 77 W Forest Ave, Flagstaff, AZ 86001 | 2015-03-30 |
| 1174914915 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2015-02-16 |
| 1699182188 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2014-07-16 |
| 1033538533 | Neina Orrillo | Registered Nurse | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 | 2014-04-11 |
| 1720424997 | Meredith Katz Sena | Specialist | 77 W Forest Ave, Ste 301, Flagstaff, AZ 86001-1479 | 2013-05-15 |
| 1669815825 | Lauren Diane Hayward | Pediatrics | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2013-04-08 |
| 1548510019 | Mark Daniel Noorlander | Nurse Anesthetist, Certified Registered | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001-1479 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1588191530 | A.j.'s Pharmacy | Pharmacy | 1750 S Railroad Springs Blvd Ste 2, Flagstaff, AZ 86001-8720 | 2017-05-20 |
| 1427288950 | Mortar and Pestle | Pharmacy | 2708 N 4th St Ste C-2, Flagstaff, AZ 86004-1829 | 2009-07-17 |
| 1942241856 | Arizona Cvs Stores LLC | Pharmacy | 3506 E Route 66, Flagstaff, AZ 86004-4033 | 2006-06-10 |
| 1891727863 | Az Bd of Regents for On Behalf of Northern Az University | Pharmacy | 824 S San Francisco St, Bldg 25 Northern Arizona University Campus, Flagstaff, AZ 86011-0001 | 2006-07-07 |
| 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 |
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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.