Marana Health Center Inc
Organization Active NPI Clinic Pharmacy · Tucson, AZ
NPI 1154584977 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1154584977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- MARANA HEALTH CENTER INC
- Practice address
- 3690 S Park Ave Ste 805
Tucson, AZ 85713-5042 - Phone
- (520) 616-6778
- Fax
- (520) 882-0697
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Joshua B Carzoli, PHARMD
- Title
- Ceo
- Phone
- (520) 682-4111
Corporate family (same tax ID) 41
National Provider Directory
- Tax ID family
- Marana Health Center Inc
Locations
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | Y004885 | AZ |
Addresses
Primary practice location
3690 S Park Ave Ste 805
Tucson, AZ 85713-5042
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 616-6778
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329592 | Other | AZ | GROUP MEDICAID |
| 369853 | Medicaid | AZ |
Other names
- CLINICA DEL ALMA PHARMACY
NPI Registry JSON
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1154584977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-616-6778",
"fax_number": "520-882-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 S PARK AVE STE 805",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857135042",
"telephone_number": "520-616-6778",
"fax_number": "520-882-0697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARANA HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "CARZOLI",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "520-682-4111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "Y004885",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "329592",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "369853",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINICA DEL ALMA 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. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.