DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, LLC (NPI# 1922594076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922594076 |
| Entity Type | Organization |
| Organization Name | DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, LLC |
| Other Organization Name | DIPLOMAT SPECIALTY PHARMACY |
| Practice Address |
485 N Juniper Dr Chandler AZ 85226 |
| Mailing Address |
4100 S Saginaw St Flint MI 48507-2683 |
| Practice Telephone | 6023664700 |
| Mailing Telephone | 8107689000 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | DAVID OBERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 8107689429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y007627 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1922594076 | 05 | |
| NE | 10026769900 | 05 | |
| ID | 1922594076 | 05 | |
| AZ | 472846 | 05 | |
| NM | 59279711 | 05 | |
| WA | 2130857 | 05 | |
| MT | 1922594076 | 05 | |
| OK | 200844300A | 05 |
| Other Name | Type Code |
|---|---|
| Diplomat Specialty Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, LLC | 485 N Juniper Dr, Chandler, AZ 85226-2543 |
| Colorado Business Entities | Diplomat Specialty Pharmacy of Phoenix, LLC | 485 N. Juniper Drive, Chandler, AZ 85226 |
| Iowa Business Entities | DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, LLC | 4100 S Saginaw Street, Flint, MI 48507 |
| Oregon Corporations, Companies and Business Names | DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, LLC | 485 N Juniper Dr, Chandler, AZ 85226 |
| Street Address |
485 N JUNIPER DR |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073011961 | Joshua David Heiller | Physical Therapist | 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 | 2018-01-25 |
| 1053771808 | Jessie Beliard | Counselor | 6909 W Ray Rd Ste 138, Chandler, AZ 85226 | 2016-03-07 |
| 1750754206 | Homestead Hospice of Phoenix LLC | Hospice Care, Community Based | 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 | 2015-11-05 |
| 1003288192 | Savannah Torrez | Physical Therapist | 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 | 2015-10-28 |
| 1437401528 | Larry W. Ganann | Pharmacist | 4949 W. Ray Road, Chandler, AZ 85226 | 2012-10-12 |
| 1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
| 1457609158 | Patricia Dobratz | Marriage & Family Therapist | 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 | 2012-08-28 |
| 1831406388 | Chanda Lise Gonzales | Counselor | 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226 | 2010-09-04 |
| 1689874323 | Arizona Dental Design | Dentist | 4940 W. Ray Road Suite 8, Chandler, AZ 85226 | 2007-07-20 |
| 1396955464 | Que Karbassy | Chiropractor | 4910 West Ray Road Suite 2, Chandler, AZ 85226 | 2007-05-23 |
| Find all providers in zip 85226 | ||||
| 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 |
|---|---|---|---|---|
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1699133512 | Best Care Pharmacy | Pharmacy | 1020 E Pecos Rd, Suite 5, Chandler, AZ 85225-2424 | 2016-02-05 |
| 1174923759 | Medical Metrics, LLC | Pharmacy | 4995 S Alma School Rd, Ste 4, Chandler, AZ 85248-5647 | 2014-09-02 |
| 1871905083 | Cvs Pharmacy | Pharmacy | 4791 S Soho Ln, Chandler, AZ 85249-1806 | 2014-05-22 |
| 1396179230 | Walmart Inc. | Pharmacy | 1900 E Chandler Blvd, Chandler, AZ 85225-5113 | 2013-08-28 |
| 1033460910 | Trinity Health Care LLC | Pharmacy | 2055 W Frye Rd Ste 3, Chandler, AZ 85224-6277 | 2012-10-02 |
| 1518062355 | German Dobson Cvs LLC | Pharmacy | 1015 E Ray Rd, Chandler, AZ 85225-1599 | 2006-09-14 |
| 1073618815 | German Dobson Cvs, L.L.C. | Pharmacy | 2005 N Dobson Rd, Chandler, AZ 85224-2294 | 2006-09-14 |
| 1407950389 | German Dobson Cvs, L.L.C. | Pharmacy | 990 E Warner Rd, Chandler, AZ 85225-0992 | 2006-09-12 |
| 1114021003 | German Dobson Cvs, L.L.C. | Pharmacy | 5975 W Chandler Blvd, Chandler, AZ 85226-3422 | 2006-09-12 |
| Find all providers in CHANDLER | ||||
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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.