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CIGNA HEALTH CARE OF ARIZONA INC NPI 1992797930


NPI Information

NPI: 1992797930
Provider Name: CIGNA HEALTH CARE OF ARIZONA INC

Doing Business As: CIGNA MEDICAL GROUP PHARMACY - SUN CITY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 03D0057643

Address:
9069 W THUNDERBIRD
PEORIA, AZ
ZIP 85381
Phone: (623) 876-2165
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CIGNA HEALTH CARE OF ARIZONA INC is a pharmacy in Peoria, AZ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CIGNA HEALTH CARE OF ARIZONA INC NPI is 1992797930. The provider is registered as an organization entity type.
The provider Is Doing Business As Cigna Medical Group Pharmacy - Sun City.

The provider's business location address is:

9069 W THUNDERBIRD
PEORIA, AZ
ZIP 85381
Phone: (623) 876-2165
Fax: (623) 876-2398

The provider's authorized official is Charles Ryon .
The authorized official title is Pharmacy Area Manager and has the following contact phone number (623) 277-1168.

The CLIA number assigned to this NPI record is 03D0057643 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 11/1/2016.


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
13336C0002XPharmacyClinic PharmacyNo
2333600000XPharmacy1275ARIZONAYes

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
11988363OTHERPK

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.