OrganizationActive
State of Arizona
NPI 1578752762 · Institutional Pharmacy · Phoenix, AZ
State of Arizona is a Institutional Pharmacy organization in Phoenix, AZ (NPI 1578752762).
Provider details
- NPI number
- 1578752762
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ronald Williams, Medical Director(602) 520-1663
- License
- Y01936 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
24601 N 29th Ave
Phoenix, AZ 85083-1165
Phone: (623) 780-1303
Fax: (623) 879-7026
Street-level locationGet directions
Mailing address
24601 N 29th Ave
Phoenix, AZ 85083-1165
Other names (DBA / former)
- Doing business as
- Black Canyon School Pharmacy
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2016-04-12
Frequently asked questions
- What is State of Arizona's NPI number?
- State of Arizona's National Provider Identifier (NPI) is 1578752762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Arizona?
- State of Arizona is classified in the NPPES registry as Institutional Pharmacy (Suppliers).
- Where is State of Arizona located?
- State of Arizona's practice location on file with NPPES is 24601 N 29th Ave, Phoenix, AZ 85083-1165.
- What is State of Arizona's phone number?
- The practice phone number listed in the NPPES registry for State of Arizona is (623) 780-1303.
- Who is the authorized official for State of Arizona?
- The authorized official listed on State of Arizona's NPPES record is Ronald Williams, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Arizona's NPI active?
- Yes — State of Arizona's NPI (1578752762) is active in the NPPES registry as of the last update on 2016-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.