Portable Medical Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

4292 Issued in AZ

Legal business name

PORTABLE MEDICAL PHARMACY

Practice address

6250 E Grant Rd
Ste 388
Tucson, AZ 85712-5805

Phone

(520) 296-0317

Fax

(520) 296-0417

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

James Toomey

Title

Owner

Phone

(702) 491-6447

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SPECTRUM PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Portable Medical Pharmacy2 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.

• Portable Medical Pharmacy- Arizona

  • Pharmacy
  • Tucson, AZ
  • NPI 1164404828
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Marie Evans, PHARMD

  • Pharmacist
  • Tucson, AZ
  • NPI 1073096749
  NPD (past)
• Jenna Pakala

  • Pharmacotherapy Pharmacist
  • Tucson, AZ
  • NPI 1912416975
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1558415992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-939-6562",
            "fax_number": "702-939-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 E GRANT RD",
            "address_2": "STE 388",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125805",
            "telephone_number": "520-296-0317",
            "fax_number": "520-296-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "TOOMEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-491-6447"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "962755",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alba Antonieta Porras Hoyos, MA, LAC
• Patricia Porras, LISAC
• Maya L Porrino, MD
• Christin Porro
• Rhonda Denise Porro, LMFT
• Portable Medical Pharmacy- Arizona
• Portable Practical Education Preparation, Inc
• Portable Practical Educational Preparation, Inc
• Portable Xray of Arizona Tucson
• Alexandra Marie Porter, N.D.

• Long Term Care Pharmacy in Tucson, AZ
• Providers in Tucson, 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 Mar 6, 2017; 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.

Verify at the official NPI Registry.