CIVIC CENTER PHARMACY, LLC – NPI #1649281213
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Health Care Provider Taxonomy Code for Pharmacy

CIVIC CENTER PHARMACY, LLC is a pharmacy located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1649281213 to CIVIC CENTER PHARMACY, LLC on August 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was last updated on Jan 16, 2025. 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 CIVIC CENTER PHARMACY, LLC below.

NPI Profile for
CIVIC CENTER PHARMACY, LLC

NPI Number
1649281213
Enumeration Date

(about 20 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
CIVIC CENTER PHARMACY, LLC
Other name(s)
All associated names:

Doing Business As (dba)
CIVIC CENTER PHARMACY
Primary location
7331 E OSBORN DR
SCOTTSDALE, AZ 85251-6435
Phone: (480) 945-9519 Fax: (480) 275-7812
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AUSTIN MURPHY
VP/SECRETARY/MANAGER
Phone: (305) 808-9838
Updated
Certification Date
Jan 16, 2025

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.

Identifiers

Identifiers for CIVIC CENTER PHARMACY, LLC

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
otherPK1988982
otherSTATE BOARD OF PHARMACY LICENSEAZY009666
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
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy
333600000X
- 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.