Organization Active NPI

Diversified Pharmacy Solutions

  • Community/Retail Pharmacy
  • Tucson, AZ
National Provider Identifier
1841249471
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005104 Issued in AZ
Legal business name
DIVERSIFIED PHARMACY SOLUTIONS
Doing business as
Saddlebrooke Drug
Practice address
63717 E Saddlebrooke Blvd # 1
Tucson, AZ 85739-1258
Phone
(520) 818-3804
Fax
(520) 818-0464
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Joel Rhoads
Title
Owner
Phone
(520) 271-7413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y005104 AZ Primary

Addresses

Primary practice location

63717 E Saddlebrooke Blvd # 1
Tucson, AZ 85739-1258

Mailing address

63717 E Saddlebrooke Blvd # 1
Tucson, AZ 85739-1258
Phone (520) 818-3804

Other identifiers 3

IdentifierTypeStateIssuer
400925MedicaidAZ
031758MedicaidAZ
1988477OtherPK

Other names 1

  • Saddlebrooke Drug Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1841249471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63717 E SADDLEBROOKE BLVD # 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857391258",
            "telephone_number": "520-818-3804",
            "fax_number": "520-818-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63717 E SADDLEBROOKE BLVD # 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857391258",
            "telephone_number": "520-818-3804",
            "fax_number": "520-818-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED PHARMACY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-271-7413"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400925",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031758",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddlebrooke Drug",
            "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 Feb 27, 2014; 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.