BNR Healthcare Corp

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y005662 Issued in AZ

Legal business name

BNR HEALTHCARE CORP

Doing business as

Medical Arts Long Term Care Pharmacy & Medical Supply

Practice address

2222 S Dobson Rd BLDG 9
Mesa, AZ 85202-6481

Phone

(480) 253-3100

Fax

(480) 497-3784

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Fred Iskhakov

Title

President

Phone

(480) 253-3100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Arts Long Term Care Pharmacy & Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

BNR Healthcare Corp2 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.

• BNR Healthcare Corp

  • Long Term Care Pharmacy
  • Tucson, AZ
  • NPI 1902240427
  NPD tax ID

Locations

Practitioners 1

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

• Michael Painter Benedict, PHARMD

  • Pharmacist
  • Tempe, AZ
  • NPI 1740834654
  NPD (past)

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1316264716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S DOBSON RD BLDG 9",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026481",
            "telephone_number": "480-253-3100",
            "fax_number": "480-497-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S DOBSON RD BLDG 9",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026481",
            "telephone_number": "480-253-3100",
            "fax_number": "480-497-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNR HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-07-18",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOV",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-253-3100"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Long Term Care Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Arts Long Term Care Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Bluth, PMNHP
• Jordan Bluth, OD
• Jenny Blythe
• BMC Medical Transport LLC
• Bmi Phoenix LLC
• Dheeraj Kumar Bobba, MD
• Richard Bocardo, LPC
• Kurt M Bockoven, FNP
• Jessica Lynn Bodea, M.D.
• John James Bodine, PT, OCS

• Long Term Care Pharmacy in Mesa, AZ
• Providers in Mesa, 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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.