NPI Code Detail JSON Logo

1356842181 NPI number — AMERICAN PREMIER PHARMACY LLC

NPI Number: 1356842181
Health Care Provider/Practitioner: AMERICAN PREMIER PHARMACY LLC

Information about “1356842181” NPI (AMERICAN PREMIER PHARMACY LLC) exists in 1356842181 in HTML format HTML  |  1356842181 in plain Text format TXT  |  1356842181 in PDF (Portable Document Format) PDF  |  1356842181 in an XML format XML  formats.

NPI Number : 1356842181 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356842181",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMERICAN PREMIER PHARMACY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11070 N 24TH AVE STE 150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85029-4705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-795-8664",
    "MailingAddressFaxNumber": "602-795-8665",
    "FirstLinePracticeLocationAddress": "11070 N 24TH AVE STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85029-4705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-795-8664",
    "PracticeLocationAddressFaxNumber": "602-795-8665",
    "EnumerationDate": "02/27/2018",
    "LastUpdateDate": "12/11/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HENDERSON",
    "AuthorizedOfficialFirstName": "GUY",
    "AuthorizedOfficialMiddleName": "SIMON FRASER",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "602-795-8664",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.