NORTHERN ARIZONA PHARMACY LLC (NPI# 1902445802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902445802 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA PHARMACY LLC |
| Other Organization Name | DEWEY PHARMACY |
| Practice Address |
12075 E State Route 69 Suite E Dewey AZ 86327 |
| Mailing Address |
1932 N State Route 89 Chino Valley AZ 86323-5643 |
| Practice Telephone | 9285150046 |
| Practice Fax Number | 9285150047 |
| Mailing Telephone | 9285150046 |
| Mailing Fax Number | 9285150047 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | DR. JASON JAMES DYKSTRA (MANAGER) |
| Authorized Official Telephone | 9285150046 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Dewey Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12075 E State Route 89, Suite A, Prescott Valley, AZ 86314 | 9285150046 | 9285150047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175588 | Northern Arizona Pharmacy LLC | Pharmacy | 1932 N State Route 89, Chino Valley, AZ 86323-5643 | 2016-06-15 |
| Street Address |
12075 E STATE ROUTE 69 SUITE E |
| City | DEWEY |
| State | AZ |
| Zip Code | 86327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306181656 | Danielle Marie Durnan | Registered Nurse | 12075 E State Route 69, Dewey, AZ 86327-4517 | 2012-11-27 |
| 1578072328 | John Aldinger | Nurse Practitioner | 12075 E State Route 69, Dewey, AZ 86327-4517 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791577 | Sarabeth Zurbano Roberto | Nurse Practitioner | 12075 Arizona 69, Dewey, AZ 86327 | 2018-08-23 |
| 1194224493 | Danielle Barbaro | Nurse Practitioner | 12075 Az - 69, Dewey, AZ 86327 | 2018-02-02 |
| 1437669504 | Caroline Bingham | Registered Nurse | 12075 Az State Route 69, Dewey, AZ 86327 | 2017-10-03 |
| 1245778323 | Copper Basin Healthcare, Inc. | Hospice Care, Community Based | 13207 E State Route 169 Ste A, Dewey, AZ 86327 | 2017-02-08 |
| 1346790748 | Holly Engelman | Nurse Practitioner | 150 Az-69 #1a, Dewey, AZ 86327 | 2016-10-10 |
| 1902262272 | Bradshaw Mountain Family Medicine LLC | Nurse Practitioner | 1163 E Old Chisholm Trail Suite C, Dewey, AZ 86327 | 2016-01-02 |
| 1255703229 | Clarence & Jeanne Kinsley, Dba | Respite Care | 17100 E. Lions Crossing Rd, Dewey, AZ 86327 | 2015-10-29 |
| 1003060534 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 14410 E. Blue Ridge Road, Dewey, AZ 86327 | 2008-11-11 |
| 1740431196 | Andrew Gregory Bowers | Speech-Language Pathologist | 422 N. La Paz St., Dewey, AZ 86327 | 2008-10-03 |
| 1114090925 | Mingus Mountain Estate Residential Center Inc | Assisted Living Facility | 100 Dewey Road, Farrington Home, Dewey, AZ 86327 | 2006-11-17 |
| Find all providers in zip 86327 | ||||
| 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] |
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|---|---|---|---|---|
| 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.