NPIMap

Organization Active NPI

St James Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Phoenix, AZ
National Provider Identifier
1770988362
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
Y006254 Issued in AZ
Legal business name
ST JAMES LONG TERM CARE PHARMACY
Practice address
20616 N Cave Creek Rd Ste 111
Phoenix, AZ 85024-4451
Phone
(480) 662-3865
Fax
(480) 494-8558
NPI assigned
Oct 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Dr. Brian Lim Marasigan, MDNPI 1033372131
Title
Manager, Chief Operating Officer
Phone
(480) 662-3865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X S013212 AZ
Pharmacy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 183700000X T042375 AZ
Long Term Care Pharmacy 3336L0003X Y006254 AZ Primary

Addresses

Primary practice location

20616 N Cave Creek Rd Ste 111
Phoenix, AZ 85024-4451

Mailing address

20616 N Cave Creek Rd Ste 111
Phoenix, AZ 85024-4451
Phone (480) 662-3865

Other names 1

  • St James LTC Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

20624 N Cave Creek Rd
Ste 142
Phoenix, AZ 85024
Phone (602) 633-6100

20616 N Cave Creek Rd
Ste 111
Phoenix, AZ 85024
Phone (480) 494-8560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1770988362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20616 N CAVE CREEK RD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244451",
            "telephone_number": "480-662-3865",
            "fax_number": "602-354-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20616 N CAVE CREEK RD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244451",
            "telephone_number": "480-662-3865",
            "fax_number": "480-494-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES LONG TERM CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "MARASIGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LIM",
        "authorized_official_title_or_position": "MANAGER, CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-662-3865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S013212",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "T042375",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y006254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St James LTC Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St James LTC Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.