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GERIATRIC SPECIALTIES OF ARIZONA
NPI 1649690603
Non-Pharmacy Dispensing Site in Phoenix, AZ

Active since April 17, 2014
6838 N 23RD AVE, PHOENIX, AZ 85015(602) 864-8800 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Geriatric Specialties Of Arizona NPPES

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

GERIATRIC SPECIALTIES OF ARIZONA (NPI 1649690603) is a healthcare organization registered as a non-pharmacy dispensing site in Phoenix, Arizona and active in the NPI registry since April 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1649690603
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameGERIATRIC SPECIALTIES OF ARIZONA PC
Location Address6838 N 23RD AVEPhoenix, AZ 85015-1056
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(602) 864-8800
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 17, 2014
Last NPPES UpdateNovember 10, 2014
✔ NPI 1649690603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in AZ · 19651
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
6838 N 23RD AVE, Phoenix, AZ 85015
Open in Google Maps ↗

Other Names 1

Doing Business AsGeriatric Specialties Of Arizona

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.

GERIATRIC SPECIALTIES OF ARIZONA PC
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
FAYE LOUIS BOMER MD
Obstetrics & Gynecology
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
NISHA J MANEK M.D.
Internal Medicine (Rheumatology)
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
WILLIAM WOODS PRETLOW MD
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
MORTON H DUBNOW M.D.
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
LESTER ALLEN EPSTEIN MD
Specialist
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
STANLEY LYNN COMBS MD
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800
DR. HERNAN MEDINA MD
Specialist
6838 N 23RD AVE
PHOENIX, AZ 85015
Maricopa County (602) 864-8800

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 Geriatric Specialties Of Arizona PC's NPI number?

The NPI number for Geriatric Specialties Of Arizona PC is 1649690603. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Geriatric Specialties Of Arizona.

Where is Geriatric Specialties Of Arizona PC located?

Geriatric Specialties Of Arizona PC is located at 6838 N 23rd Ave, Phoenix, AZ 85015. The listed phone number is (602) 864-8800.

What is Geriatric Specialties Of Arizona PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Geriatric Specialties Of Arizona PC was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.