ST JOHNS DRUG
NPI 1780786186
Pharmacy - Community/Retail Pharmacy in St Johns, AZ

Active since September 05, 2006CLIA 03D2175134 · Waiver
1155 W CLEVELAND, ST JOHNS, AZ 85936(928) 337-2229(928) 337-2500 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St Johns Drug NPPES

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

ST JOHNS DRUG (NPI 1780786186) is a healthcare organization registered as a community/retail pharmacy in St Johns, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Fred Harper, Owner, as its authorized official.

NPPES Registry Identity

NPI1780786186
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWESTERN DRUG INC
Location Address1155 W CLEVELANDSt Johns, AZ 85936
Mailing AddressPo Box 517Saint Johns, AZ 85936-0517 · (928) 337-2229 · Fax (928) 337-2500
Fax(928) 337-2500
Organization SubpartNo
Authorized OfficialFred HarperOwner · (928) 333-2916
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJune 13, 2016
NPI 1780786186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in AZ · Y003477
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
1155 W CLEVELAND, St Johns, AZ 85936

Other Names 1

Doing Business AsSt Johns Drug

Other Identifiers 2

Other1997484Pk
Medicaid618887AZ

Accepted 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 03D2175134

Western Drug & General Store · Springerville, AZ
Active · expires Nov 14, 2027
CLIA Number03D2175134
Laboratory TypePharmacy
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorCheryl Malone
Laboratory Phone(928) 333-2916
Laboratory LocationWestern Drug & General Store106 E Main Street, Springerville, AZ 85938
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780786186, enumerated as an "organization" on September 05, 2006.

The provider is located at 1155 W CLEVELAND ST JOHNS, AZ 85936 and the phone number is (928) 337-2229.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.