Individual provider Active NPI

Robert Paul Rasa

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1215523709
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S010627 Issued in AZ
Practice address
1002 E McDowell Rd
Phoenix, AZ 85006-2625
Phone
(602) 258-7051
Fax
(602) 258-7073
NPI assigned
Dec 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S010627 AZ Primary

Addresses

Primary practice location

1002 E McDowell Rd
Phoenix, AZ 85006-2625

Mailing address

1002 E McDowell Rd
Phoenix, AZ 85006-2625
Phone (602) 258-7051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S010627AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy, L.L.C. CurrentSince Feb 7, 2021 Accepting new patients
Procare Pharmacy, LLC. PastSince Dec 22, 2020 Accepting new patients

Locations

1002 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-7051

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1215523709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062625",
            "telephone_number": "602-258-7051",
            "fax_number": "602-258-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062625",
            "telephone_number": "602-258-7051",
            "fax_number": "602-258-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASA",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.