St. Mary's MPP

Primary specialty

PharmacistTaxonomy code 183500000X

License

6870 Issued in AZ

Legal business name

ST. MARY'S MPP

Practice address

10860 N Mavinee Dr
Oro Valley, AZ 85737-9526

Phone

(520) 297-3800

Fax

(520) 297-3466

NPI assigned

Apr 24, 2007

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerald R Cacciatore, R PH

Title

Ceo President

Phone

(520) 297-3800

Specialties & licenses 1

Addresses

Other names 1

• USH Other name

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1710105531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 N MAVINEE DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379526",
            "telephone_number": "520-297-3800",
            "fax_number": "520-297-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 N MAVINEE DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379526",
            "telephone_number": "520-297-3800",
            "fax_number": "520-297-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S MPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "CACCIATORE",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "520-297-3800",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southern Arizona Urgent Care, LLC
• Southwest Kidney Davita Dialysis Partners LLC (Oro Valley Dialysis)
• St Marys Managed Prescription Program
• St Marys Medical Park Pharmacy Inc (Managed Pharmacy Programs)
• Tamara Lynn St Peter, LPC
• Stealth Monarch Management and Consulting LLC
• Ingrid H. Steger-Terslin, MSN, FNP-C
• Robert C Stelzle, MD
• Jenel Stensurd
• Stephen S Able MD PLLC

• Pharmacist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.