Guardian Pharmacy of Tucson LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y005720 Issued in AZ

Legal business name

GUARDIAN PHARMACY OF TUCSON LLC

Doing business as

Saliba's Extended Care Pharmacy, Tucson

Practice address

10900 N Stallard PL
Oro Valley, AZ 85737-9544

Phone

(520) 818-2883

Fax

(520) 818-1833

NPI assigned

Sep 18, 2013

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Saliba

Title

President

Phone

(623) 815-8965

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Saliba's Extended Care Pharmacy, Tucson Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Guardian Pharmacy of Arizona, LLC

  dba Salibas Extended Care Pharmacy

  • Long Term Care Pharmacy
  • Phoenix, AZ
  • NPI 1598755944

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine L Martin, PHARMD

  • Pharmacist
  • Oro Valley, AZ
  • NPI 1992925424
  NPD (past)
• Kenneth Tadashi Olson, PHARMD

  • Pharmacist
  • Oro Valley, AZ
  • NPI 1598354367
  NPD (past)
• Christine Phung

  • Pharmacist
  • Oro Valley, AZ
  • NPI 1598110819
  NPD (past)

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1235565581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF TUCSON DEPT 2430",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-810-0089",
            "fax_number": "404-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N STALLARD PL",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379544",
            "telephone_number": "520-818-2883",
            "fax_number": "520-818-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF TUCSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SALIBA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-815-8965"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853339",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saliba's Extended Care Pharmacy, Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alina M. Grigore, MD
• Mark Leslie Griswold, D.O.
• Jay Grossman, MD
• Brianna Gruenwald, PA-C
• Guardian Pharmacy of Arizona, LLC (Saliba's Extended Care Pharmacy)
• Barbara Elaine Guerrero, PHARMD
• Karl Louis Guillen, AAS
• Pallavi S Gupta, LPC
• Ruby Lynn Guyot, P.T.
• Dennis Gyllenhaal, PT

• Long Term Care Pharmacy in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.