Star Care Pharmacy LLC
Organization Active NPI Pharmacy · Scottsdale, AZ
NPI 1124622360 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1124622360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- STAR CARE PHARMACY LLC
- Practice address
- 10953 N Frank Lloyd Wright Blvd Ste 101
Scottsdale, AZ 85259-2641 - Phone
- (623) 404-3626
- NPI assigned
- Nov 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Rima Patel
- Title
- Owner
- Phone
- (623) 404-3626
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211103003190 | AZ | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628466067 | Practice locations: Scottsdale, AZ |
National Provider Directory
Locations
10953 N Frank Lloyd Wright Blvd
Ste 101
Scottsdale, AZ 85259
Phone (623) 404-3626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
10953 N Frank Lloyd Wright Blvd Ste 101
Scottsdale, AZ 85259-2641
Mailing address
10953 N Frank Lloyd Wright Blvd Ste 101
Scottsdale, AZ 85259-2641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y008538 | Other | AZ | ARIZONA BOARD OF PHARMACY |
Other names
- STARCARE PHARMACY
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.