NPIMap

Organization Active NPI

Lumicera Health Services LLC

  • Specialty Pharmacy
  • Scottsdale, AZ
National Provider Identifier
1235580697
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
Y006807 Issued in AZ
Legal business name
LUMICERA HEALTH SERVICES LLC
Practice address
9185 E Pima Center Pkwy Ste 200
Scottsdale, AZ 85258-4646
Phone
(855) 847-3553
Fax
(855) 847-3558
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Peter Nielson
Title
Pharmacist in Charge
Phone
(608) 310-1837

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X Y006807 AZ Primary

Addresses

Primary practice location

9185 E Pima Center Pkwy Ste 200
Scottsdale, AZ 85258-4646

Mailing address

9185 E Pima Center Pkwy Ste 200
Scottsdale, AZ 85258-4646
Phone (855) 847-3553

Other identifiers 1

IdentifierTypeStateIssuer
2160812OtherPK

Other names 1

  • Lumicera Health Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lumicera Health Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5350 E High St
Ste 200
Phoenix, AZ 85054
Phone (855) 847-3553

9185 E Pima Center Pkwy
Ste 200
Scottsdale, AZ 85258
Phone (855) 847-3553

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1235580697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9185 E PIMA CENTER PKWY STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584646",
            "telephone_number": "855-847-3553",
            "fax_number": "855-847-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9185 E PIMA CENTER PKWY STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584646",
            "telephone_number": "855-847-3553",
            "fax_number": "855-847-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMICERA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "608-310-1837"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AZ",
            "license": "Y006807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumicera Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lumicera Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.