Active NPIOrganization

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Phoenix, Arizona

NPI Number1164293940
Practice location
520 W Osborn RD, Phoenix, AZ 85013-3808
Fax
602-277-4457
Last updated
July 24, 2024

1918 Winter Street Operating Co LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 1918 Winter Street Operating Co LLC is 1164293940. The current practice location address is 520 W Osborn RD, Phoenix, AZ 85013-3808 and the office can be reached by phone at 602-285-0661 and by fax at 602-277-4457. The NPI was assigned on January 11, 2024 and the record was last updated in NPPES on July 24, 2024.

●Provider Profile Details

NPI Number
1164293940
Provider Name
1918 Winter Street Operating Co LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kevin Mcnamara · Authorized Person · 603-354-4619
Enumeration Date
January 11, 2024
Last Update Date
July 24, 2024
Certification Date
January 8, 2024
NPI Status
Active
Other Names
Safeway Pharmacy #0174 (Doing Business As)

◉Business Practice Location Address

Address
520 W Osborn RD
Phoenix, AZ 85013-3808
State
Arizona
ZIP
85013-3808
Country
US
Phone Number
602-285-0661
Fax Number
602-277-4457

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✉Business Mailing Address

Address
7 Corporate Dr
Keene, NH 03431-5042
City
Keene
State
NH
ZIP
03431-5042
Phone Number
603-354-7000

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Durable Medical Equipment & Medical Supplies332B00000XNo——
Pharmacy, Community/Retail Pharmacy3336C0003XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 1918 Winter Street Operating Co LLC?

The NPI number of 1918 Winter Street Operating Co LLC is 1164293940. It was assigned on January 11, 2024 and is currently active in the NPPES registry.

What is the specialty of 1918 Winter Street Operating Co LLC?

1918 Winter Street Operating Co LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).

Where does 1918 Winter Street Operating Co LLC practice?

The practice location is 520 W Osborn RD, Phoenix, AZ 85013-3808. The office can be reached at 602-285-0661 (phone) or 602-277-4457 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164293940 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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