MAYO CLINIC ARIZONA
NPI 1255796496
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ

Q: What is Mayo Clinic Arizona's NPI number?

The NPI number for Mayo Clinic Arizona is 1255796496. It was assigned to this organization in the NPPES registry on December 15, 2015. The provider is doing business as Mayo Clinic Building Phoenix Outpatient Pharmacy.

Q: What is Mayo Clinic Arizona's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since December 15, 2015

5881 E MAYO BLVD, # STE 1-304, PHOENIX, AZ 85054(480) 342-4100(480) 342-4180 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jun 26, 2025, Apr 12, 2021 and 2 more (5 updates tracked since 2015).

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About Mayo Clinic Arizona NPPES

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

MAYO CLINIC ARIZONA (NPI 1255796496), doing business as Mayo Clinic Building Phoenix Outpatient Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Phoenix, Arizona and active in the NPI registry since December 2015. The organization lists Roshanak Didehban, Cao, as its authorized official.

NPPES Registry Identity

NPI1255796496

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMAYO CLINIC ARIZONA

Location Address5881 E MAYO BLVD, # STE 1-304Phoenix, AZ 85054-4505

Mailing AddressPo Box 083268Chicago, IL 60691-0268 · (507) 284-3390

Phone(480) 342-4100

Fax(480) 342-4180

Organization SubpartNo

Authorized OfficialRoshanak DidehbanCao · (480) 301-6493

Enumeration DateDecember 15, 2015

Last NPPES UpdateAugust 11, 20255 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1255796496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X · License Y006569 (AZ)

Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X

5881 E MAYO BLVD, Phoenix, AZ 85054

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Other Names 1

Doing Business AsMayo Clinic Building Phoenix Outpatient Pharmacy

Other Identifiers 1

Other2155895Pk

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 Arkansas Health & Wellness and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Mayo Clinic Building Phoenix Outpat carries, from the Medicare DMEPOS supplier directory.

Mayo Clinic Building Phoenix Outpat

DMEPOS supplier · Phoenix, AZOperated by Mayo Clinic Arizona

✔

Accepts Medicare assignment

Mayo Clinic Building Phoenix Outpat agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20408891

Medicare Participant SinceJanuary 1, 2021

Supplier Location5881 E Mayo Blvd # 1-304Phoenix, AZ 85054

Phone(480) 342-4100

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 7

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

ZACHARY LARSON PHARMD

Pharmacist