NPIMap

Organization Active NPI

Bethany Home Discount Pharmacy LLC

  • Long Term Care Pharmacy
  • Glendale, AZ
National Provider Identifier
1295626786
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BETHANY HOME DISCOUNT PHARMACY LLC
Practice address
6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946
Phone
(623) 440-7717
Fax
(623) 440-7781
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Sushmith Godishala
Title
Member
Phone
(623) 440-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

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

Mailing address

6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946
Phone (623) 440-7717

National Provider Directory

National Provider Directory
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.

Locations

6601 W Bethany Home Rd
Ste A10
Glendale, AZ 85301
Phone (623) 440-7717

Practitioners & affiliated clinicians

Practitioners 4

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": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1295626786",
    "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": "2025-07-11",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GODISHALA",
        "authorized_official_first_name": "SUSHMITH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-440-7717"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.