MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (NPI# 1669936472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669936472 |
| Entity Type | Organization |
| Organization Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Other Organization Name | VALLEYWISE BEHAVIORAL HEALTH CENTER - MARYVALE PHARMACY |
| Practice Address |
5102 W Campbell Ave Phoenix AZ 85031-1703 |
| Mailing Address |
2601 E Roosevelt St Phoenix AZ 85008-4973 |
| Practice Telephone | 6023445011 |
| Mailing Telephone | 6023441309 |
| Enumeration Date | 2019-01-25 |
| 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 |
Suppliers |
| Other Name | Type Code |
|---|---|
| Maricopa Medical Center - Maryvale Campus | Doing Business As Name - Organization |
| VALLEYWISE BEHAVIORAL HEALTH CENTER - MARYVALE 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 |
| 1568407880 | Maricopa County Special Health Care District | Pharmacy | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2006-06-19 |
| 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 |
5102 W CAMPBELL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332084 | Gregory L Bandy | Emergency Medicine | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2005-11-02 |
| 1710489034 | Nicole M Davis | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-03-02 |
| 1205344066 | Pai-han Arthur Yeh | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-01-15 |
| 1568997757 | Casey Anna Fuller | Registered Nurse | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2017-04-25 |
| 1083156319 | Amanda Horton | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-11-17 |
| 1417301490 | Chad Van Pelt | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-15 |
| 1962856088 | Jacob Demenna | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-14 |
| 1346603578 | Michelle Vita Sipe | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-04 |
| 1164817854 | Zhi Yuan Wu | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2015-03-31 |
| 1306251004 | Jessica Ellis | Physician Assistant | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| 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 |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1164981643 | North Valley Pharmacy LLC | Pharmacy | 34975 N North Valley Pkwy Bldg 5, Phoenix, AZ 85086-4028 | 2019-03-14 |
| 1821569633 | Healthrx Pharmacy, LLC. | Pharmacy | 727 E Bethany Home Rd Ste B110, Phoenix, AZ 85014-2151 | 2018-12-06 |
| 1821572405 | Tramanto Community Pharmacy | Pharmacy | 2633 W Carefree Hwy Ste 115, Phoenix, AZ 85085-8864 | 2018-09-19 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1053818096 | Nixona Rx, LLC | Pharmacy | 1614 E Mcdowell Rd, Phoenix, AZ 85006-3032 | 2018-04-06 |
| 1841795887 | Nimble Pharmacy Inc | Pharmacy | 3702 E Roeser Rd Ste 5, Phoenix, AZ 85040-9047 | 2018-03-29 |
| 1881107696 | Julie Faye House | Pharmacy | 2655 E Brown St, Phoenix, AZ 85028-4314 | 2017-11-15 |
| 1295248268 | German Dobson Cvs, L.L.C. | Pharmacy | 5450 W Happy Valley Rd, Phoenix, AZ 85083-2949 | 2017-11-13 |
| 1073069860 | Bgh Pharmacy | Pharmacy | 3544 W Glendale Ave Ste E, Phoenix, AZ 85051-8359 | 2016-08-31 |
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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.