Santa Teresa Pharmacy II LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SANTA TERESA PHARMACY II LLC

Practice address

1896 E Babbit LN
San Luis, AZ 85336-7820

Phone

(928) 328-1000

Fax

(928) 328-1001

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Raj Rakesh Shah

Title

Ceo

Phone

(626) 589-1646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1114692829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7649",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853496815",
            "telephone_number": "928-328-1000",
            "fax_number": "928-328-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 E BABBIT LN",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853367820",
            "telephone_number": "928-328-1000",
            "fax_number": "928-328-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA TERESA PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "RAKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-589-1646"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Luis Walk-in Clinic, Inc.
• Sanando Integrative Med Clinic, PLLC
• Jose Ramon Sanchez Bastidas, NP-C
• Abraham Gerardo Sanchez
• Gerardo Ochoa Sanchez, PA
• Santa Teresa Pharmacy LLC
• Mandana Semnani, MD
• Shruti Sharma, MD
• Martin Sobieraj, DMD
• Sonortica Dent All Group, LLC

• Pharmacy in San Luis, AZ
• Providers in San Luis, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.