Active NPI
Mariposa Community Health Center, Inc
- Pharmacy
- Rio Rico, AZ
National Provider Identifier
1366050536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MARIPOSA COMMUNITY HEALTH CENTER, INC
- Practice address
- 1103 Circulo Mercado
Rio Rico, AZ 85648-6248 - Phone
- (520) 223-4398
- Fax
- (520) 223-4164
- NPI assigned
- Jul 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tia Duncan
- Title
- Director of Administration
- Phone
- (520) 761-2128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1103 Circulo Mercado
Rio Rico, AZ 85648-6248
Mailing address
825 N Grand Ave
Suite 100
Nogales, AZ 85621
Phone (520) 761-2128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089024 | Medicaid | AZ |
Other names 1
- Mariposa Community Health Center, Inc. Rio Rico Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240129003562 | AZ | Part B Supplier - Pharmacy | 8123926326 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nogales, AZ; Rio Rico, AZ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1366050536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N GRAND AVE",
"address_2": "SUITE 100",
"city": "NOGALES",
"state": "AZ",
"postal_code": "85621",
"telephone_number": "520-761-2128",
"fax_number": "520-223-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 CIRCULO MERCADO",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "856486248",
"telephone_number": "520-223-4398",
"fax_number": "520-223-4164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIPOSA COMMUNITY HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-14",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "TIA",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
"authorized_official_telephone_number": "520-761-2128"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089024",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mariposa Community Health Center, Inc. Rio Rico Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rio Rico, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.