Organization Active NPI

Lobos Acquisition of Arizona, Inc.

Doing business as Danny's Retail Pharmacy

  • Community/Retail Pharmacy
  • Tucson, AZ
National Provider Identifier
1740380781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3852 Issued in AZ
Legal business name
LOBOS ACQUISITION OF ARIZONA, INC.
Doing business as
Danny's Retail Pharmacy
Practice address
5395 E Erickson Dr
Suite 101
Tucson, AZ 85712-2826
Phone
(520) 795-4271
Fax
(520) 795-8979
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Regis Robinson
Title
Secretary
Phone
(410) 347-9281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3852 AZ Primary

Addresses

Primary practice location

5395 E Erickson Dr
Suite 101
Tucson, AZ 85712-2826

Mailing address

100 E Rivercenter Blvd
Suite 1600
Covington, KY 41011-1555

Other identifiers 2

IdentifierTypeStateIssuer
0305549OtherNCPDP
821612MedicaidAZ

Other names 1

  • Danny's Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5395 E Erickson Dr
Ste 101
Tucson, AZ 85712
Phone (520) 324-5123

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740380781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E RIVERCENTER BLVD",
            "address_2": "SUITE 1600",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111555",
            "fax_number": "520-795-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 E ERICKSON DR",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122826",
            "telephone_number": "520-795-4271",
            "fax_number": "520-795-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOBOS ACQUISITION OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "REGIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-347-9281"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "3852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0305549",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821612",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danny's Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.