Healthcare Provider Details

I. General information

NPI: 1992172720
Provider Name (Legal Business Name): CLIFF LOCKEY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E JEFFERSON ST
PHOENIX AZ
85004-2752
US

IV. Provider business mailing address

6625 W HAPPY VALLEY RD
GLENDALE AZ
85310-2617
US

V. Phone/Fax

Practice location:
  • Phone: 480-569-6815
  • Fax: 480-569-6816
Mailing address:
  • Phone: 623-561-5092
  • Fax: 623-566-9364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS021514
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: