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Northern Arizona Pharmacy LLC

Pharmacy in Chino Valley, AZ · enumerated 2016 · authorized official Jason Dykstra, Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194175588

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Northern Arizona Pharmacy LLC
Other name <Unavail>
Practice address 1932 N State Route 89, Chino Valley, AZ, 86323
Phone (928) 515-0046
Fax (928) 515-0047
Enumeration date Jun 15, 2016
Last updated in NPPES Dec 20, 2019

Taxonomy & classification

333600000X Pharmacy Suppliers · License Y006900 (AZ) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Jason Dykstra
Title Pharmacist
Phone (928) 515-0046

Other identifiers

Identifier Type State Issuer
171606 Medicaid AZ -
2160678 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Northern Arizona Pharmacy LLC?
The NPI for Northern Arizona Pharmacy LLC is 1194175588, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northern Arizona Pharmacy LLC?
NPPES lists Jason Dykstra (Pharmacist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-20.