UA CANCER CENTER/DIGNITY HEALTH ST. JOSEPH'S OUTPT PHARM
NPI 1952775298
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ
NPI Status: Active since November 24, 2015
Contact Information
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
Phone: (602) 406-0350
Fax: (602) 406-0673
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
- CLIA Number: 03D2096975
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 07-31-2026
About UA CANCER CENTER/DIGNITY HEALTH ST. JOSEPH'S OUTPT PHARM
This page provides the complete NPI Profile along with additional information for Ua Cancer Center/dignity Health St. Joseph's Outpt Pharm, a provider established in Phoenix, Arizona operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1952775298 assigned on November 2015. The practitioner's primary taxonomy code is 3336C0003X with license number Y006423 (AZ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Ua Cancer Center/dignity Health St. Joseph's Outpt Pharm. The authorized official of this NPI record is Mark Leach (Director Of Pharmacy/ao)
- NPI
- 1952775298
- Provider Legal Name
- DIGNITY HEALTH
- Other Organization Name
- UA CANCER CENTER/DIGNITY HEALTH ST. JOSEPH'S OUTPT PHARM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 625 N 6TH ST PHOENIX, AZ 85004
- Location Phone
- (602) 406-0350
- Location Fax
- (602) 406-0673
- Mailing Address
- 625 N 6TH ST PHOENIX, AZ 85004
- Mailing Phone
- (602) 406-0350
- Mailing Fax
- (602) 406-0673
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-24-2015
- Last Update Date
- 10-06-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- Y006423
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | |
| 2 | 3336C0002X | Suppliers | Pharmacy | |
| 3 | 3336C0004X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
- Select by Medica Expanded Bronze Standard - EPO
- Select by Medica Gold $0 Copay PCP Visits - EPO
- Select by Medica Gold Share - EPO
- Select by Medica Gold Standard - EPO
- Select by Medica Silver $0 Copay PCP Visits - EPO
- Select by Medica Silver Share - EPO
- Select by Medica Silver Standard - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2156055 | OTHER (01) | PK | |
| 174414 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2096975
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- August 01, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- JENNIFER ESCHBACHER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ua Cancer Center/dignity Health St. Joseph's Outpt Pharm to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for UA CANCER CENTER/DIGNITY HEALTH ST. JOSEPH'S OUTPT PHARM
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 5 | 2 | 7 | 7 | 5 | 2 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 14 | 7 | 10 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 1 + 4 + 7 + 1 + 0 + 2 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1952775298 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MANDY CORNELIUS LMSW
Social Worker
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
UACC ST. JOSPEH'S HOSPITAL AND MEDICAL CENTER
Clinic/Center
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
WILLIAM G CANCE MD
Surgery
(Surgical Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
KIMBERLY BRUSSOW M.S.
Genetic Counselor, MS
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. DEBRA A WONG M.D.
Internal Medicine
(Medical Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
NATHALIE ZEITOUNI MD
Dermatology
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. MURALI KRISHNA KODALI MD
Internal Medicine
(Hematology & Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. SHIFAT AHMED MD
Internal Medicine
(Gastroenterology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
JOHN PAWLOSKI M.D., PH. D.
Internal Medicine
(Hematology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
MARY EILEEN KUMAH RUSSELL ACNP
Nurse Practitioner
(Gerontology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. JILL CASSADAY PHARMD, BCPS
Pharmacist
(Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. JASON T. WISEMAN MD, MSPH
Surgery
(Surgical Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
ANDREW MITCHELL PHARMD
Pharmacist
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. STUART M BERGMAN MD
Urology
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
JENNIFER ROSE BARTOLO MSN/FNP-C
Nurse Practitioner
(Family)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
EDITHA A KRUEGER M.D.
Radiology
(Radiation Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
DR. ALBERT GUY WENDT M.D.
Internal Medicine
(Medical Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
NITIKA THAWANI MD
Radiology
(Radiation Oncology)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
RAMONA MARIE TORRES FNP
Nurse Practitioner
(Family)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
CHRISTINA J CUDZEWICZ PA-C
Physician Assistant
(Surgical)
625 N 6TH ST
PHOENIX, AZ
ZIP 85004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952775298, enumerated as an "organization" on November 24, 2015.
The provider is located at 625 N 6TH ST PHOENIX, AZ 85004 and the phone number is (602) 406-0350.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Primewell Health. Please consult your insurance carrier or call the provider to verify.
