Organization Active NPI

Nutrishare, LLC

  • Home Infusion Therapy Pharmacy
  • Phoenix, AZ
National Provider Identifier
1003796889
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
NUTRISHARE, LLC
Practice address
4310 E Cotton Center Blvd Ste 110
Phoenix, AZ 85040-8857
Phone
(866) 955-5807
Fax
(888) 626-3344
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Austin Pulsipher
Title
Cfo / Treasurer
Phone
(916) 478-7811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

4310 E Cotton Center Blvd Ste 110
Phoenix, AZ 85040-8857

Mailing address

4310 E Cotton Center Blvd Ste 110
Phoenix, AZ 85040-8857
Phone (866) 955-5807

National Provider Directory

National Provider Directory
Tax ID family
Nutrishare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4310 E Cotton Center Blvd
Ste 110
Phoenix, AZ 85040
Phone (602) 438-7888

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1003796889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 E COTTON CENTER BLVD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408857",
            "telephone_number": "866-955-5807",
            "fax_number": "888-626-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 E COTTON CENTER BLVD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408857",
            "telephone_number": "866-955-5807",
            "fax_number": "888-626-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRISHARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PULSIPHER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CFO / TREASURER",
        "authorized_official_telephone_number": "916-478-7811"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.