Santa Teresa Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SANTA TERESA PHARMACY LLC

Doing business as

Santa Teresa Pharmacy

Practice address

151 S Oak Ave Ste 200
San Luis, AZ 85336-0756

Phone

(928) 328-1000

Fax

(928) 328-1001

NPI assigned

Jul 22, 2010

Last updated

Nov 16, 2021By 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

Raj Shah

Title

Member

Phone

(928) 328-1000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Santa Teresa Pharmacy Doing business as

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1851604524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 200",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-328-1000",
            "fax_number": "928-328-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 200",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-328-1000",
            "fax_number": "928-328-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA TERESA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-328-1000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0356786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Teresa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Teresa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanando Integrative Med Clinic, PLLC
• Jose Ramon Sanchez Bastidas, NP-C
• Abraham Gerardo Sanchez
• Gerardo Ochoa Sanchez, PA
• Santa Teresa Pharmacy II LLC
• Mandana Semnani, MD
• Shruti Sharma, MD
• Martin Sobieraj, DMD
• Sonortica Dent All Group, LLC
• Marisol Soto Jimenez, DDS

• Community/Retail Pharmacy in San Luis, AZ
• Providers in San Luis, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.