Organization Active NPI

Desert Life Pharmacy LLC

  • Long Term Care Pharmacy
  • Tucson, AZ
National Provider Identifier
1700641073
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DESERT LIFE PHARMACY LLC
Practice address
63675 E Saddlebrooke Blvd Ste S
Tucson, AZ 85739-1297
Phone
(520) 477-9776
NPI assigned
Feb 15, 2024
Organization subpart
Yes
Parent organization
DESERT LIFE PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Brianne Mae Spaeth
Title
Director of Pharmacy
Phone
(520) 477-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 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
Part of
Desert Life Pharmacy LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1700641073",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT LIFE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT LIFE PHARMACY LLC",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SPAETH",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "520-477-9776"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care 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 Feb 15, 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.