Adepa Pharmacy PLLC
Organization Active NPI Long Term Care Pharmacy · Tucson, AZ
NPI 1336749860 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1336749860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- ADEPA PHARMACY PLLC
- Practice address
- 8770 N Thornydale Rd
Tucson, AZ 85742-9096 - Phone
- (480) 310-9394
- NPI assigned
- Oct 26, 2020
- Organization subpart
- No
Authorized official
- Name
- Irene Owusu-Boadi, PHARM.D
- Title
- Manager
- Phone
- (520) 370-9770
Practitioners 1
-
Irene Owusu-Boadi, PHARM.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210315002627 | AZ | Part B Supplier - Pharmacy | 6800202953 | Practice locations: Tucson, AZ |
National Provider Directory
Locations
8770 N Thornydale Rd
Tucson, AZ 85742
Phone (520) 230-3178
8770 N Thornydale Rd
Ste 190
Tucson, AZ 85742
Phone (520) 370-9770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
8770 N Thornydale Rd
Tucson, AZ 85742-9096
Mailing address
8770 N Thornydale Rd Ste 190
Tucson, AZ 85742-9096
Phone (520) 370-9770
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- William Jay Adelman
- Adefolarin Micheal Adeyemi
- Rachael Leigh Adger
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- Rubina Adhikari
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All providers in Tucson, AZ · Long Term Care Pharmacy in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.