Organization
COMMUNITY PHCY
Active
Organization
COMMUNITY PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GUBERNICK (OWNER)
(480) 575-1103
Entity
Organization
Contact information
Practice address
17233 N HOLMES BLVD, STE 1615, PHOENIX, AZ 85053-2018
(602) 993-2600
Mailing address
7305 E VISAO DR, SCOTTSDALE, AZ 85266-2707
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300664
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
303446
—
AZ
Enumeration date
08/10/2006
Last updated
03/18/2008
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