Active NPI
Ajay Desai, PHARM.D
- Pharmacist
- Glendale, AZ
National Provider Identifier
1467279018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S012343
- Practice address
- 6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946 - Phone
- (623) 440-7717
- NPI assigned
- Sep 24, 2024
- Last updated
- Sep 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S012343 | AZ | Primary |
Addresses
Primary practice location
6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946
Mailing address
3659 E Crest LN
Phoenix, AZ 85050-8335
Phone (602) 363-9488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S012343 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethany Home Discount Pharmacy LLC | Current | Accepting new patients | |
| Bethany Home Discount Pharmacy LLC | Current | Accepting new patients |
Locations
6601 W Bethany Home Rd
Ste A10
Glendale, AZ 85301
Phone (623) 440-7717
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bethany Home Discount Pharmacy
- Community/Retail Pharmacy
- Glendale, AZ
- NPI 1154975043
-
- Long Term Care Pharmacy
- Glendale, AZ
- NPI 1295626786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1467279018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3659 E CREST LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850508335",
"telephone_number": "602-363-9488"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "AJAY",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Dentists of North Glendale, LLP (Dentists of North Glendale)
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- Julie Ann Denton, FNP-C
- Dentopro, LLC
- Denture Solutions Unlimited
- Preeti A Desai, PHARM.D
- John W Desalvo, MD
- Desert Cardiovascular Surgeons LLC (Desert Cardiovascular Surgeons)
- Desert Crown Hospice Care LLC
- Desert Dreams Anesthesia, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.