AVELLA OF PHOENIX II, INC. – NPI #1366447005
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

AVELLA OF PHOENIX II, INC. is a pharmacy located in PHOENIX, AZ. NPPES has assigned the NPI number 1366447005 to AVELLA OF PHOENIX II, INC. on June 17, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 14 years ago on Sep 11, 2012. 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 AVELLA OF PHOENIX II, INC. below.

NPI Profile for
AVELLA OF PHOENIX II, INC.

NPI Number
1366447005
Enumeration Date

(about 21 years 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
AVELLA OF PHOENIX II, INC.
Primary location
5040 N 15TH AVE STE 102
PHOENIX, AZ 85015-3329
Phone: (602) 277-3181 Fax: (602) 277-3418
Mailing address
1606 W WHISPERING WIND DR
PHOENIX, AZ 85085-0678
Phone: (623) 434-1700 Fax: (623) 434-3676
Organization Subpart
Yes - AVELLA OF PHOENIX II, INC. is subpart of another organization.
Authorized Official
JOHN MUSIL
CEO
Phone: (623) 434-3657
Updated
Identifiers

Identifiers for AVELLA OF PHOENIX II, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER0326466
MEDICAIDAZ630469
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
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
AZ Y005091
3336S0011X
- Pharmacy / Specialty Pharmacy

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.