ELK RIDGE KINGMAN PHARMACY – NPI #1275480923
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Health Care Provider Taxonomy Code for Pharmacy

ELK RIDGE KINGMAN PHARMACY is a pharmacy located in KINGMAN, AZ. NPPES recently assigned the NPI number 1275480923 to ELK RIDGE KINGMAN PHARMACY on March 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELK RIDGE KINGMAN PHARMACY below.

NPI Profile for
ELK RIDGE KINGMAN PHARMACY

NPI Number
1275480923
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELK RIDGE KINGMAN PHARMACY
Primary location
1510 N STOCKTON HILL RD
KINGMAN, AZ 86401-5173
Phone: (520) 670-3909 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELVA GONZALEZ
PHARMACY COORDINATOR
Phone: (520) 670-3813
Updated
Certification Date
Mar 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.