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MAYO CLINIC ARIZONA NPI 1255796496


NPI Information

NPI: 1255796496
Provider Name: MAYO CLINIC ARIZONA

Doing Business As: MAYO CLINIC BUILDING PHOENIX OUTPATIENT PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
5881 E MAYO BLVD.
#1-304
PHOENIX, AZ
ZIP 85054
Phone: (480) 342-4100
Get Directions

MAYO CLINIC ARIZONA is a clinic pharmacy pharmacy in Phoenix, AZ. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MAYO CLINIC ARIZONA NPI is 1255796496. The provider is registered as an organization entity type.
The provider Is Doing Business As Mayo Clinic Building Phoenix Outpatient Pharmacy.

The provider's business location address is:

5881 E MAYO BLVD.
#1-304
PHOENIX, AZ
ZIP 85054-505
Phone: (480) 342-4100
Fax: (480) 342-4180

The provider's authorized official is Allison Viramontes .
The authorized official title is Cfo and has the following contact phone number (480) 301-9748.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 8/1/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336I0012XPharmacyInstitutional PharmacyNo
43336C0002XPharmacyClinic PharmacyY006569ARIZONAYes

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
12155895OTHERPK

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.