Active NPI
Robert Paul Rasa
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1215523709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S010627
- Practice address
- 1002 E McDowell Rd
Phoenix, AZ 85006-2625 - Phone
- (602) 258-7051
- Fax
- (602) 258-7073
- NPI assigned
- Dec 18, 2020
- Last updated
- Dec 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S010627 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, L.L.C. | Current | Accepting new patients | |
| Procare Pharmacy, LLC. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.