PIMC PHARMACY
NPI 1801900766
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Phoenix, AZ

Q: What is Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since August 18, 2006

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2023, Jun 18, 2019, Nov 9, 2017 (3 updates tracked since 2017).

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About Pimc Pharmacy NPPES

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

PIMC PHARMACY (NPI 1801900766) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Phoenix, Arizona and active in the NPI registry since August 2006. The organization lists Laura A Tillman, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1801900766

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameDHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6088 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Organization SubpartNo

Authorized OfficialLaura A TillmanChief Medical Officer · (602) 263-1567

Enumeration DateAugust 18, 2006

Last NPPES UpdateMay 19, 20233 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1801900766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

License✔ Licensed in AZ · AZS07912

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

4212 N 16TH ST, Phoenix, AZ 85016

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Other Names 1

Doing Business AsPimc Pharmacy

Other Identifiers 2

Other0324602Ncpdp Provider Identification Number

Medicaid022062AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)