Guardian Pharmacy of Arizona, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y005379 Issued in AZ

Legal business name

GUARDIAN PHARMACY OF ARIZONA, LLC

Doing business as

Saliba's Extended Care Pharmacy

Practice address

1171 E Rancho Vistoso Blvd Ste 131
Oro Valley, AZ 85755-9101

Phone

(623) 815-8965

Fax

(480) 355-3006

NPI assigned

Jun 1, 2011

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Saliba

Title

President

Phone

(623) 815-8965

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Saliba's Extended Care Pharmacy Doing business as

Tax ID family

Guardian Pharmacy of Arizona LLC2 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.

• Guardian Pharmacy of Arizona, LLC

  dba Salibas Extended Care Pharmacy

  • Long Term Care Pharmacy
  • Phoenix, AZ
  • NPI 1598755944
  NPD tax ID

Locations

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1437443975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF ARIZONA DEPT 2370",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-389-1316",
            "fax_number": "404-389-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E RANCHO VISTOSO BLVD STE 131",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559101",
            "telephone_number": "623-815-8965",
            "fax_number": "480-355-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "SALIBA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-815-8965"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saliba's Extended Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Griffith, SA-C
• Alina M. Grigore, MD
• Mark Leslie Griswold, D.O.
• Jay Grossman, MD
• Brianna Gruenwald, PA-C
• Guardian Pharmacy of Tucson LLC (Saliba's Extended Care Pharmacy, Tucson)
• Barbara Elaine Guerrero, PHARMD
• Karl Louis Guillen, AAS
• Pallavi S Gupta, LPC
• Ruby Lynn Guyot, P.T.

• Long Term Care Pharmacy in Oro Valley, AZ
• Providers in Oro Valley, 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 Sep 30, 2016; 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.