Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Yusupov

Individual provider Pharmacist · NPI 1649557117

Gary Yusupov is a Pharmacist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
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Practice location Address checks out

1620 N 59th Ave
Phoenix, AZ 85035-4985
Phone: (623) 849-2084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S018745 (AZ)

Record details

NPI number1649557117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2011
Last updated in NPPESNovember 10, 2011
Mailing address4895 E Russell Rd Apt 205, Las Vegas, NV 89120-2398

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