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GOOT NURSING HOME PHARMACY INC NPI 1013942051


NPI Information

NPI: 1013942051
Provider Name: GOOT NURSING HOME PHARMACY INC

Doing Business As: PHARMERICA

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
8826 N 23RD AVE
SUITE C-2
PHOENIX, AZ
ZIP 85021
Phone: (602) 995-1320
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GOOT NURSING HOME PHARMACY INC is a long term care pharmacy pharmacy in Phoenix, AZ. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GOOT NURSING HOME PHARMACY INC NPI is 1013942051. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmerica.

The provider's business location address is:

8826 N 23RD AVE
SUITE C-2
PHOENIX, AZ
ZIP 85021-154
Phone: (602) 995-1320
Fax: (602) 995-0264

The provider's authorized official is Allison L. Brown .
The authorized official title is Secretary and has the following contact phone number (502) 630-7429.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 2/13/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyY02939ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10315538OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
21013942051MEDICAIDCOLORADO
31013942051MEDICAIDIOWA
41017729270001MEDICAIDPENNSYLVANIA
56058574MEDICAIDNEW MEXICO
6100512163MEDICAIDNEVADA
71013942051MEDICAIDMICHIGAN
8482646MEDICAIDARIZONA
9200833340AMEDICAIDINDIANA
100199796 00MEDICAIDMARYLAND
111013942051MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.