OrganizationActive
Elk Ridge Grand Canyon Pharmacy
NPI 1497602155 · Clinic Pharmacy · Grand Canyon, AZ
Elk Ridge Grand Canyon Pharmacy is a Clinic Pharmacy organization in Grand Canyon, AZ (NPI 1497602155).
Provider details
- NPI number
- 1497602155
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Melva Gonzalez, Pharmacy Cooordinator(520) 670-3813
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1 Clinic Rd
Grand Canyon, AZ 86023-0290
Phone: (520) 670-3909
Street-level locationGet directions
Mailing address
1 Clinic Rd
Grand Canyon, AZ 86023-0290
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Elk Ridge Grand Canyon Pharmacy's NPI number?
- Elk Ridge Grand Canyon Pharmacy's National Provider Identifier (NPI) is 1497602155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elk Ridge Grand Canyon Pharmacy?
- Elk Ridge Grand Canyon Pharmacy is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is Elk Ridge Grand Canyon Pharmacy located?
- Elk Ridge Grand Canyon Pharmacy's practice location on file with NPPES is 1 Clinic Rd, Grand Canyon, AZ 86023-0290.
- What is Elk Ridge Grand Canyon Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Elk Ridge Grand Canyon Pharmacy is (520) 670-3909.
- Who is the authorized official for Elk Ridge Grand Canyon Pharmacy?
- The authorized official listed on Elk Ridge Grand Canyon Pharmacy's NPPES record is Melva Gonzalez, Pharmacy Cooordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elk Ridge Grand Canyon Pharmacy's NPI active?
- Yes — Elk Ridge Grand Canyon Pharmacy's NPI (1497602155) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.