Medimpact Direct, Llc, NPI 1831520006
Mail Order Pharmacy in Tempe, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1831520006
NPI Entity Type Organization
Provider Name Medimpact Direct, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 8060 S Kyrene Rd, Tempe, AZ, US
Provider Mailing Address 8060 S Kyrene Rd, Tempe, AZ, US, 852842109
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Gary Rice
Official Position GENERAL MANAGER
Phone 858-790-3034

Primary Taxonomy

Taxonomy Code

3336M0002X

Taxonomy Name Mail Order Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. Y005608
License State AZ
Description A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

Business Address

Medimpact Direct, Llc
8060 S Kyrene Rd

Tempe, AZ, US

Phone: 855-873-8739
Fax: 888-783-1770

Mailing Address

Medimpact Direct, Llc
8060 S Kyrene Rd
Tempe, AZ, US
ZIP 852842109
Phone: 855-873-8739

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
22-44613 KS KANSAS BOARD OF PHARMACY 01
265917 MN MINNESOTA BOARD OF PHARMACY 01
NR-PCY038 GU GUAM BOARD OF PHARMACY 01
PHAR1041 ND NORTH DAKOTA BOARD OF PHARMACY 01
PHNR001778 GA GEORGIA DEPT OF COMMUNITY HEALTH 01
11378780-1714 UT UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING 01
MO40002704 ME MAINE REGULATORY LICENSING AND PERMITTING 01
NP000613 PA COMMONWEALTH OF PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS 01
RP-0003029 OR OREGON BOARD OF PHARMACY 01
054.018819 IL ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION 01
64002191A IN INDIANA PROFESSIONAL LICENSING AGENCY 01
PHN11723 RI RHODE ISLAND DEPT OF HEALTH 01
0000005427 TN TENNESSEE DEPT OF HEALTH 01
036.0124442 VT STATE OF VERMONT 01
166807.1 MS MISSISSIPPI BOARD OF PHARMACY 01
400-1317 SD SOUTH DAKOTA BOARD OF PHARMACY 01
4383 IA IOWA BOARD OF PHARMACY 01
800028 AL STATE BOARD OF PHARMACY 01
860 NE NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES 01
AZ1821 KY KENTUCKY BOARD OF PHARMACY 01
OS02718 AR STATE BOARD OF PHARMACY 01
PH00004314 NM NEW MEXICO REGULATION AND LICENSING DEPT 01
PH03299 NV NEVADA BOARD OF PHARMACY 01
PHA-MOP-LIC-63149 MT MONTANA BOARD OF PHARMACY 01
PHNR.FO.60984509 WA WASHINGTON DEPT OF HEALTH 01
PHY.007063-NR LA LOUISIANA BOARD OF PHARMACY 01
022448000 OH OHIO BOARD OF PHARMACY 01
033041 NY NEW YORK OFFICE OF THE PROFESSIONS 01
2014036438 MO MISSOURI DIVISION OF PROFESSIONAL REGISTRATION 01
28RO00100300 NJ NEW JERSEY DIVISION OF CONSUMER AFFAIRS 01
31151 TX TEXAS BOARD OF PHARMACY 01
NR1350 NH NEW HAMPSHIRE BOARD OF PHARMACY 01
PMP-1014 HI HAWAII PROFESSIONAL AND VOCATIONAL LICENSING DIVISION 01
Y005608 AZ STATE BOARD OF PHARMACY 01
13186 NC NORTH CAROLINA BOARD OF PHARMACY 01
152962 AK STATE OF ALASKA DIVISION OF PROFESSIONAL LICENSING 01
17389 SC SOUTH CAROLINA BOARD OF PHARMACY 01
A9-0001909 DE DELAWARE DIVISION OF PROFESSIONAL REGULATION 01
MO0561437 WV WEST VIRGINIA BOARD OF PHARMACY 01
NRD56252 ID IDAHO BOARD OF PHARMACY 01
PH28185 FL FLORIDA DEPT OF HEALTH 01
PO6869 MD MARYLAND BOARD OF PHARMACY 01
0214001603 VA VIRGINIA DEPT OF HEALTH PROFESSIONS 01
330567651001 IL MEDICAID 05
NRX1901664 DC DISTRICT OF COLUMBIA DEPT OF HEALTH AND REGULATION LICENSING 01
OSP.0006456 CO COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS 01
PCN.0002769 CT CONNECTICUT DEPT OF CONSUMER PROTECTION 01
5301012214 MI MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS 01
99-8534 OK OKLAHOMA BOARD OF PHARMACY 01
NRP2319 CA CALIFORNIA BOARD OF PHARMACY 01

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PA-C Abigail Jane Higgins

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1154088532

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MOT OTR/L, BCP, CIMI Victoria Wicus

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Organization

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PT Catherine Broadbent

Individual

Physical Therapist

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Buckeye, AZ

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