NPIMap

Organization Active NPI

Desert Life Pharmacy LLC

  • Specialty Pharmacy
  • Tucson, AZ
National Provider Identifier
1649965815
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Brianne Mae Spaeth, PHARMD
Title
Pharmd/Owner
Phone
(520) 477-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

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

Mailing address

63675 E Saddlebrooke Blvd Ste S
Tucson, AZ 85739-1297
Phone (520) 477-9776

National Provider Directory

National Provider Directory
Tax ID family
Desert Life Pharmacy 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.

Locations

63675 E Saddlebrooke Blvd
Ste S
Tucson, AZ 85739
Phone (520) 333-6767

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1649965815",
    "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",
            "fax_number": "520-477-9777"
        },
        {
            "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": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SPAETH",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PHARMD/OWNER",
        "authorized_official_telephone_number": "520-477-9776",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.