Organization · Type 2 NPI

Mayo Clinic Arizona

Community/Retail Pharmacy · Phoenix, AZ

NPI number 1255796496 Active

Practice location

5881 E Mayo Blvd, # Ste 1-304
Phoenix, AZ 85054-4505

Call (480) 342-4100 Map

Fax (480) 342-4180

Mailing address

PO Box 083268
Chicago, IL 60691-0268

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Clinic Pharmacy	3336C0002X	Y006569 (AZ)
Community/Retail Pharmacy Primary	3336C0003X	None listed
Institutional Pharmacy	3336I0012X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

8 other providers at this address

Other community/retail pharmacy providers in Phoenix

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NPI record

NPI: 1255796496
Entity type: Organization (Type 2)
Issued: Dec 15, 2015
Last updated: Aug 11, 2025
Status: Active

Other names

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Mayo Clinic Building Phoenix Outpatient Pharmacy · doing business as
Mayo Clinic Building Phoenix Outpatient Pharmacy · doing business as

Authorized official

Roshanak Didehban
Cao
(480) 301-6493

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255796496

Mayo Clinic Arizona's National Provider Identifier is 1255796496, issued on Dec 15, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 11, 2025.