MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
NPI 1629867056
Pharmacy - Clinic Pharmacy in Mesa, AZ

Active since May 02, 2025
1950 S COUNTRY CLUB DR, MESA, AZ 85210(602) 506-6665(602) 506-5078 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maricopa County Department Of Public Health NPPES

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

MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH (NPI 1629867056) is a healthcare organization registered as a clinic pharmacy in Mesa, Arizona and active in the NPI registry since May 2025. The organization lists Joel Kodicek, Specialized Services Supervisor, as its authorized official.

NPPES Registry Identity

NPI1629867056
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Location Address1950 S COUNTRY CLUB DRMesa, AZ 85210-6043
Mailing Address1645 E Roosevelt StPhoenix, AZ 85006-3638 · (602) 506-6665 · Fax (602) 506-5078
Fax(602) 506-5078
Organization SubpartYesParent: Maricopa County
Authorized OfficialJoel KodicekSpecialized Services Supervisor · (480) 662-5475
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
NPI 1629867056 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.

1950 S COUNTRY CLUB DR, Mesa, AZ 85210

Other Providers at the Same Location NPPES 17

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

Optometrist
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Family Medicine
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Family Medicine
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Family Medicine
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Family Medicine
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Physician Assistant (Medical)
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Family Medicine
1950 S COUNTRY CLUB DR
MESA, AZ 85210
Family Medicine
1950 S COUNTRY CLUB DR
MESA, AZ 85210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629867056, enumerated as an "organization" on May 02, 2025.

The provider is located at 1950 S COUNTRY CLUB DR MESA, AZ 85210 and the phone number is (602) 506-6665.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.