Organization
COMMUNITY DRUG STORE, LLC
Active
Organization
COMMUNITY DRUG STORE, LLC
Active
Other names
Community Pharmacy IV
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GUBERNICK RPH (OWNER)
(480) 575-1103
Entity
Organization
Contact information
Practice address
3050 N WINDSONG DR, SUITE 103, PRESCOTT VALLEY, AZ 86314-2265
(480) 575-1103
Mailing address
7305 E VISAO DR, SCOTTSDALE, AZ 85266-2707
(480) 575-1103
(602) 298-6934
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005106
AZ
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up