Provider record
Elk Ridge Grand Canyon Pharmacy
The public CMS NPPES listing for Elk Ridge Grand Canyon Pharmacy places this Clinic Pharmacy record in Grand Canyon, AZ. The practice address is shown as 1 Clinic Rd, Grand Canyon, AZ. NPPES also reports a phone number. Verify details before visiting or calling.
National Plan and Provider Enumeration System
CMS NPPES
Reported to NPPES
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We show source-reported CMS NPPES fields.
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Source-labeled identifiers and reported record state.
- NPI
- 1497602155
- Entity type
- Organization
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 1 Clinic Rd
Grand Canyon, AZ 86023-0290 - Phone
- (520) 670-3909
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Nearby pharmacies
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 3336C0002X
- Specialty
- Clinic Pharmacy
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
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