Desert West Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y004151 Issued in AZ

Legal business name

DESERT WEST PHARMACY INC

Doing business as

Desert West Pharmacy

Practice address

1099 E Sunrise Ave
Kingman, AZ 86401-6825

Phone

(928) 718-5418

Fax

(928) 718-5419

NPI assigned

Aug 10, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Owens

Title

Admin

Phone

(928) 718-5418

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DESERT WEST PHARMACY Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1003827684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 E SUNRISE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016825",
            "telephone_number": "928-718-5418",
            "fax_number": "928-718-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 E SUNRISE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016825",
            "telephone_number": "928-718-5418",
            "fax_number": "928-718-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "928-718-5418"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y004151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991894",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919227",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT WEST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Staci Rene' Delaney, LPC
• Rachel Rae Delfino Briles, FNP-C
• Mark Lucian Demmer, RPH
• Desert Family Eye Center, P.C.
• Desert Rose Management Corp (Desert Rose Imaging Center)
• Diagnostic Solutions, LLC
• Diagnostic Ultrasound Solutions, LLC
• Ronald Anthony Dicarlo II, DMD
• Kerry Lyn Dinnella, RN
• DMV Shuttle Service

• Long Term Care Pharmacy in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.