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FRY'S PHARMACY
NPI 1912287095
Pharmacy - Community/Retail Pharmacy in Mesa, AZ

Active since August 22, 2011CLIA Certified · 4 labs
1935 N STAPLEY DR, MESA, AZ 85203(480) 610-4173(480) 610-4176 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fry's Pharmacy NPPES

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

FRY'S PHARMACY (NPI 1912287095) is a healthcare organization registered as a community/retail pharmacy in Mesa, Arizona and active in the NPI registry since August 2011. The organization holds 4 active CLIA laboratory certificates and lists Tara Nicole Hall, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1912287095
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRY'S PHARMACY
Location Address1935 N STAPLEY DRMesa, AZ 85203-2749
Mailing Address1935 N Stapley DrMesa, AZ 85203-2749 · (480) 610-4173 · Fax (480) 610-4176
Phone(480) 610-4173
Fax(480) 610-4176
Organization SubpartNo
Authorized OfficialTara Nicole HallStaff Pharmacist · (480) 274-8302
Enumeration DateAugust 22, 2011
✔ NPI 1912287095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AZ · S018655
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.
1935 N STAPLEY DR, Mesa, AZ 85203
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CLIA Laboratory Certificates CMS CLIA 4

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 03D2111633

Fry's Pharmacy #686 · Mesa, AZ
Active · expires Apr 11, 2028
CLIA Number03D2111633
Laboratory TypePharmacy
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorWhitney Rice
Laboratory Phone(623) 907-4932
Laboratory LocationFry's Pharmacy #6862724 S Signal Butte Rd, Mesa, AZ 85209
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2111577

Fry's Pharmacy #55 · Mesa, AZ
Active · expires Apr 10, 2028
CLIA Number03D2111577
Laboratory TypePharmacy
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorWhitney Rice
Laboratory Phone(480) 924-0868
Laboratory LocationFry's Pharmacy #551915 S Power Rd, Mesa, AZ 85206
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2029309

Fry's Pharmacy #023 · Mesa, AZ
Active · expires Sep 5, 2027
CLIA Number03D2029309
Laboratory TypePharmacy
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorStephanie Spark
Laboratory Phone(480) 830-6343
Laboratory LocationFry's Pharmacy #0235941 E Mckellips, Mesa, AZ 85215
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2028547

Fry's Pharmacy #611 · Mesa, AZ
Active · expires Aug 17, 2027
CLIA Number03D2028547
Laboratory TypeRetail Pharmacy
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorJim Loui
Laboratory Phone(480) 218-8573
Laboratory LocationFry's Pharmacy #6114440 E Main St, Mesa, AZ 85205
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MRS. TERRY SUE WILCOX FNP
Nurse Practitioner (Family)
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 339-6178
KURT WILLIAM ADKINS
Pharmacist
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 610-4173
JOLYNN JENNIE BRILES FNP
Nurse Practitioner (Family)
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (602) 538-7900
SMITHS FOOD & DRUG CENTERS INC
Pharmacy (Community/Retail Pharmacy)
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 610-4173
TARA DISANTO PHARMD
Pharmacist
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 610-4173
JACQUELINE MELLYN RPH
Pharmacist
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 610-4173
TAYLOR LEE HEINTZ PHARMD
Pharmacist
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 610-4173
JENNIFER PENROSE PHARM.D., BCPS
Pharmacist (Pharmacotherapy)
1935 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 610-4173

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 Fry's Pharmacy's NPI number?

The NPI number for Fry's Pharmacy is 1912287095. It was assigned to this organization in the NPPES registry on August 22, 2011.

Where is Fry's Pharmacy located?

Fry's Pharmacy is located at 1935 N Stapley Dr, Mesa, AZ 85203. The listed phone number is (480) 610-4173.

What is Fry's Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Fry's Pharmacy hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fry's Pharmacy was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.