Organization Active NPI

Sun Life Family Health Center Inc

Doing business as Sun Life Pharmacy - Oracle

  • Community/Retail Pharmacy
  • Oracle, AZ
National Provider Identifier
1528678000
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUN LIFE FAMILY HEALTH CENTER INC
Doing business as
Sun Life Pharmacy - Oracle
Practice address
1040 W American Ave
Oracle, AZ 85623-6089
Phone
(520) 858-0006
Fax
(520) 381-3237
NPI assigned
Aug 9, 2020
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Matthew Bertsch
Title
Director of Pharmacy/Ao
Phone
(520) 836-3446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1040 W American Ave
Oracle, AZ 85623-6089

Mailing address

1040 W American Ave
Oracle, AZ 85623-6089
Phone (520) 858-0006

Other names 1

  • Sun Life Pharmacy - Oracle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
W Pinal Family Health C15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1528678000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W AMERICAN AVE",
            "city": "ORACLE",
            "state": "AZ",
            "postal_code": "856236089",
            "telephone_number": "520-858-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W AMERICAN AVE",
            "city": "ORACLE",
            "state": "AZ",
            "postal_code": "856236089",
            "telephone_number": "520-858-0006",
            "fax_number": "520-381-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN LIFE FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "BERTSCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY/AO",
        "authorized_official_telephone_number": "520-836-3446"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Life Pharmacy - Oracle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun Life Pharmacy - Oracle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oracle, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.