AVELLA OF DEER VALLEY, INC (NPI# 1962726059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962726059 |
| Entity Type | Organization |
| Organization Name | AVELLA OF DEER VALLEY, INC |
| Other Organization Name | AVELLA OF DEER VALLEY-SECOND |
| Practice Address |
24416 N 19th Ave Phoenix AZ 85085-1887 |
| Mailing Address |
24416 N. 19th Ave Phoenix AZ 85085 |
| Practice Telephone | 8777196349 |
| Practice Fax Number | 8777196362 |
| Mailing Telephone | 6234341700 |
| Mailing Fax Number | 6237421705 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | DAVID OBERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9529361300 |
| Is Organization Subpart | Y |
| Parent Organization Name | APOTHECARY HOLDINGS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Y005084 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Avella of Deer Valley-second | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Avella of Deer Valley, Inc. | 24416 N 19th Avenue, Phoenix, AZ 85085 |
| Indiana Business Entities | AVELLA OF DEER VALLEY, INC. | 1606 W Whispering Wind Dr, 2nd Floor, Phoenix, AZ 85085-0678 |
| Ohio Business Entities | AVELLA OF DEER VALLEY, INC. | 1606 W. Whispering Wind Drive, 2nd Floor, Phoenix, AZ 85085 |
| Street Address |
24416 N 19TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085-1887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428434 | Robert Paul Mcmahon | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
| 1386256766 | Ricky Yin | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
| 1063024479 | Dylan Wei | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
| 1558914945 | Yousef Toma | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-07-24 |
| 1992358386 | Michelle Abou-eid | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-07-24 |
| 1356801419 | Carolyn Parton | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-03-23 |
| 1598225914 | Janelle Rose Vircks | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2019-03-21 |
| 1265941116 | Hyun Jung Kim | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| Find all providers in zip 85085 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1467942938 | Cigna Home Delivery Pharmacy | Pharmacy | 25500 N Norterra Dr Bldg B, Phoenix, AZ 85085-8200 | 2018-05-10 |
| 1386072197 | Injured Workers Pharmacy, LLC | Pharmacy | 5029 E Sunrise Dr, Suite 101, Phoenix, AZ 85044-5211 | 2013-10-15 |
| 1992939607 | Esi Mail Pharmacy Service Inc | Pharmacy | 4610 E Cotton Center Blvd Ste 105, Phoenix, AZ 85040-8898 | 2009-05-08 |
| 1811145220 | Bios Biochemicals Corporation | Pharmacy | 9831 S 51st St, Suite E-128, Phoenix, AZ 85044-5675 | 2008-08-28 |
| 1598216467 | Vitalab Pharmacy Inc | Pharmacy | 4045 E Bell Rd, Suite 163, Phoenix, AZ 85032-2236 | 2016-10-17 |
| 1508948381 | Rmb Consulting LLC | Pharmacy | 2432 W Peoria Ave, 1005, Phoenix, AZ 85029-4726 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356802664 | Apostrophe Pharmacy LLC | Pharmacy | 201 W Guadalupe Rd Ste 202, Gilbert, AZ 85233-3327 | 2019-03-28 |
| 1982117800 | Express Veterinary Pharmacy, LLC | Pharmacy | 833 N Cooper Rd Ste 104, Gilbert, AZ 85233-3108 | 2017-11-14 |
| 1831520006 | Medimpact Direct, LLC | Pharmacy | 8060 S Kyrene Rd, Tempe, AZ 85284-2109 | 2013-12-12 |
| 1891946679 | Carescripts LLC | Pharmacy | 1155 W Rio Salado Pkwy, Ste 110, Tempe, AZ 85281-2598 | 2008-10-10 |
| 1205035011 | Rxc Acquisition Company | Pharmacy | 5601 N. Pima Road, Scottsdale, AZ 85250 | 2007-07-12 |
| 1730261199 | Esi Mail Pharmacy Service Inc | Pharmacy | 3001 S Priest Drive, Tempe, AZ 85282 | 2006-10-19 |
| 1730612953 | Accredo Health Group, Inc. | Pharmacy | 2040 W Rio Salado Pkwy, Ste 101b, Tempe, AZ 85281-2802 | 2017-04-05 |
| 1881952851 | Caremarkpcs Health, L.L.C. | Pharmacy | 9501 E Shea Blvd, Mc108, Scottsdale, AZ 85260-6719 | 2012-04-27 |
| 1649352006 | Esi Mail Pharmacy Service Inc | Pharmacy | 7909 S Hardy Dr, Suite 106, Tempe, AZ 85284-1112 | 2006-10-19 |
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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.