OrganizationActive
Cvs/Pharmacy
NPI 1104235563 · Pharmacist · Scottsdale, AZ
Provider details
- NPI number
- 1104235563
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Gail Brown, District Manager(480) 239-2182
- License
- S018987 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14672 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260-2043
Phone: (480) 661-2936
Fax: (480) 661-7155
Street-level locationGet directions
Mailing address
14672 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260-2043
Registry dates
- Enumerated
- 2014-08-10
- Last updated
- 2014-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.