1. Home
  2. Directory
  3. Arizona
  4. Grand Canyon
  5. Pharmacy
  6. NPI Profile

ELK RIDGE GRAND CANYON PHARMACY
NPI 1497602155
Pharmacy - Clinic Pharmacy in Grand Canyon, AZ

Active since March 12, 2026
1 CLINIC RD, GRAND CANYON, AZ 86023(520) 670-3909 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Elk Ridge Grand Canyon Pharmacy NPPES

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

ELK RIDGE GRAND CANYON PHARMACY (NPI 1497602155) is a healthcare organization registered as a clinic pharmacy in Grand Canyon, Arizona and active in the NPI registry since March 2026. The organization lists Melva A Gonzalez, Pharmacy Cooordinator, as its authorized official.

NPPES Registry Identity

NPI1497602155
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameELK RIDGE GRAND CANYON PHARMACY
Location Address1 CLINIC RDGrand Canyon, AZ 86023-0290
Mailing Address1 Clinic RdGrand Canyon, AZ 86023-0290
Phone(520) 670-3909
Organization SubpartNo
Authorized OfficialMelva A GonzalezPharmacy Cooordinator · (520) 670-3813
Enumeration DateMarch 12, 2026
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1497602155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
1 CLINIC RD, Grand Canyon, AZ 86023
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

NORTH COUNTRY HEALTHCARE, INC.
Pharmacy (Clinic Pharmacy)
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 233-5125
KAMRAN JAVADI PA-C, MPH
Physician Assistant
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 638-2551
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC
Pharmacy (Community/Retail Pharmacy)
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 233-5125
ERINN E GALLAGHER DO
Family Medicine
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 638-2551
DAWN MIELKE MD
Emergency Medicine
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 638-2551
DR. JOHN ERIK TVETEN MD
Family Medicine
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 638-2551
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (520) 670-3909
COOPER C SCHRAUDENBACH M.D.
Family Medicine
1 CLINIC RD
GRAND CANYON, AZ 86023
Coconino County (928) 638-2551

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 Elk Ridge Grand Canyon Pharmacy's NPI number?

The NPI number for Elk Ridge Grand Canyon Pharmacy is 1497602155. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Elk Ridge Grand Canyon Pharmacy located?

Elk Ridge Grand Canyon Pharmacy is located at 1 Clinic Rd, Grand Canyon, AZ 86023. The listed phone number is (520) 670-3909.

What is Elk Ridge Grand Canyon Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Elk Ridge Grand Canyon Pharmacy was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.