CHINO VALLEY PHARMACY
NPI 1194175588
Pharmacy in Chino Valley, AZ

Q: What is Northern Arizona Pharmacy LLC's NPI number?

The NPI number for Northern Arizona Pharmacy LLC is 1194175588. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Chino Valley Pharmacy.

Q: What is Northern Arizona Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since June 15, 2016CLIA 03D2209291 · Waiver

1932 N STATE ROUTE 89, CHINO VALLEY, AZ 86323(928) 515-0046(928) 515-0047 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2019, Nov 2, 2016, Aug 26, 2016 and 1 more (4 updates tracked since 2016).

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About Chino Valley Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHINO VALLEY PHARMACY (NPI 1194175588) is a healthcare organization registered as a pharmacy in Chino Valley, Arizona and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Jason James Dykstra, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1194175588

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameNORTHERN ARIZONA PHARMACY LLC

Location Address1932 N STATE ROUTE 89Chino Valley, AZ 86323-5643

Mailing Address1932 N State Route 89Chino Valley, AZ 86323-5643 · (928) 515-0046 · Fax (928) 515-0047

Phone(928) 515-0046

Fax(928) 515-0047

Organization SubpartNo

Authorized OfficialJason James DykstraPharmacist · (928) 515-0046

Enumeration DateJune 15, 2016

Last NPPES UpdateDecember 20, 20194 updates tracked since enumeration

✔ NPI 1194175588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in AZ · Y006900

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

1932 N STATE ROUTE 89, Chino Valley, AZ 86323

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Other Names 1

Doing Business AsChino Valley Pharmacy

Other Identifiers 2

Medicaid171606AZ

Other2160678Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2209291

Northern Arizona Pharmacy · Chino Valley, AZ

Active · expires Jan 11, 2027

CLIA Number03D2209291

Laboratory TypePharmacy

Certificate Effective DateJanuary 12, 2025

Certificate Expiration DateJanuary 11, 2027

Laboratory DirectorJason J. Dykstra

Laboratory Phone(928) 515-0046

Laboratory LocationNorthern Arizona Pharmacy1932 N State Route 89, Chino Valley, AZ 86323

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

113 services111 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

103 services103 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APRIL RAE CLARK

Pharmacist

1932 N STATE ROUTE 89
CHINO VALLEY, AZ 86323

Yavapai County (928) 515-0046

DR. JASON JAMES DYKSTRA PHARM-D

Pharmacist

1932 N STATE ROUTE 89
CHINO VALLEY, AZ 86323

Yavapai County (928) 515-0046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Arizona Pharmacy LLC's NPI number?

The NPI number for Northern Arizona Pharmacy LLC is 1194175588. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Chino Valley Pharmacy.

Where is Northern Arizona Pharmacy LLC located?

Northern Arizona Pharmacy LLC is located at 1932 N State Route 89, Chino Valley, AZ 86323. The listed phone number is (928) 515-0046.

What is Northern Arizona Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Northern Arizona Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2209291) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northern Arizona Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Northern Arizona Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Arizona Pharmacy LLC was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.