Bethany Home Discount Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BETHANY HOME DISCOUNT PHARMACY LLC

Doing business as

Bethany Home Discount Pharmacy

Practice address

6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946

Phone

(623) 440-7717

Fax

(623) 440-7781

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Sushmitha Godishala

Title

Member

Phone

(602) 585-2901

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BETHANY HOME DISCOUNT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Bethany Home Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethany Home Discount Pharmacy LLC

  • Long Term Care Pharmacy
  • Glendale, AZ
  • NPI 1295626786
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sateesh Ananthu, RPH

  • Pharmacist
  • Glendale, AZ
  • NPI 1649698960
  NPD
• Ajay Desai, PHARM.D

  • Pharmacist
  • Glendale, AZ
  • NPI 1467279018
  NPD
• Preeti A Desai, PHARM.D

  • Pharmacist
  • Glendale, AZ
  • NPI 1346067998
  NPD
• Vano Ghaderi Masihi, PHARMD

  • Pharmacist
  • Glendale, AZ
  • NPI 1891573432
  NPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1154975043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 W BETHANY HOME RD STE A10",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014946",
            "telephone_number": "623-440-7717",
            "fax_number": "623-440-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 W BETHANY HOME RD STE A10",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014946",
            "telephone_number": "623-440-7717",
            "fax_number": "623-440-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "GODISHALA",
        "authorized_official_first_name": "SUSHMITHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-585-2901"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF PHARMACY",
            "identifier": "Y008159",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHANY HOME DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BETHANY HOME DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Best Medical, LLC
• Best Non Emergency Medical Transportation
• Julie C Best, MD
• Michael Best, M.D., MPH
• Bethany H Armendariz DMD PLLC (Armendariz Family Dentistry)
• Bethany Home Discount Pharmacy LLC
• Bethany Medical
• Joey Nickolas Bettencourt Jr., DO
• Mark Ren Betts
• Betty James PLLC

• Community/Retail Pharmacy in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.