Desert Life Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DESERT LIFE PHARMACY LLC

Practice address

63675 E Saddlebrooke Blvd Ste S
Tucson, AZ 85739-1297

Phone

(520) 477-9776

Fax

(520) 477-9777

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Brianne Spaeth

Title

Pharmd

Phone

(480) 540-3520

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1619529476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63675 E SADDLEBROOKE BLVD STE S",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857391297",
            "telephone_number": "520-477-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63675 E SADDLEBROOKE BLVD STE S",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857391297",
            "telephone_number": "520-477-9776",
            "fax_number": "520-477-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT LIFE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SPAETH",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "480-540-3520"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desertlifepharmacy.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "63675 E Saddlebrooke Blvd Ste S",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857391297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Desert Harmony Hospice of Tucson
• Desert Haven Adult Care Home LLC
• Desert Heart Surgery Specialists, PLLC
• Desert Home Assisted Living, LLC
• Desert Hope Psychotherapy and Consultation Services, LLC
• Desert Life Pharmacy LLC
• Desert Life Pharmacy LLC
• Desert Life Psychotherapy
• Desert Life Wellness
• Desert Lotus Counseling PLLC

• Pharmacy in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.