NPIMap

Organization Active NPI

El Rio Santa Cruz Neighborhood Health Center Inc

  • Community/Retail Pharmacy
  • Tucson, AZ
National Provider Identifier
1063977080
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC
Practice address
320 W Prince Rd
Tucson, AZ 85705
Phone
(520) 838-7699
Fax
(520) 838-7698
NPI assigned
Feb 4, 2019
Organization subpart
Yes
Parent organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Mrs. Elva Amelia Gonzalez, D.O.
Title
Pharmacy Coordinator
Phone
(520) 670-3813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

320 W Prince Rd
Tucson, AZ 85705

Mailing address

826 W Congress
Tucson, AZ 85743
Phone (520) 670-3813

Other identifiers 1

IdentifierTypeStateIssuer
857592MedicaidAZ

Other names 1

  • El Rio Northwest Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Rio OBGYN Associates59 organizations share this tax ID, including this one
Part of
El Rio OBGYN Associates

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1063977080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W CONGRESS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85743",
            "telephone_number": "520-670-3813",
            "fax_number": "520-470-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85705",
            "telephone_number": "520-838-7699",
            "fax_number": "520-838-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELVA",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "520-670-3813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Rio Northwest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Rio Northwest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.