NPIMap

Organization Active NPI

El Rio Santa Cruz Neighborhood

Doing business as El Rio Pascua Pharmacy

  • Community/Retail Pharmacy
  • Tucson, AZ
National Provider Identifier
1851615579
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005258 Issued in AZ
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD
Doing business as
El Rio Pascua Pharmacy
Practice address
7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone
(520) 838-6617
Fax
(520) 578-4059
NPI assigned
Mar 24, 2010
Last updated
Sep 11, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Mr. Joshua B Carzoli Sr., PHARM D
Title
Director of Operations
Phone
(520) 309-3959

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y005258 AZ Primary

Addresses

Primary practice location

7490 S Camino de Oeste
Tucson, AZ 85746-9308

Mailing address

PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3813

Other identifiers 2

IdentifierTypeStateIssuer
0356584MedicaidAZ
2124321OtherPK

Other names 1

  • El Rio Pascua Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Rio Health Ctr59 organizations share this tax ID, including this one
Part of
El Rio Health Ctr

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1851615579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857021231",
            "telephone_number": "520-670-3813",
            "fax_number": "520-670-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-838-6617",
            "fax_number": "520-578-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RIO SANTA CRUZ NEIGHBORHOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC",
        "enumeration_date": "2010-03-24",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "CARZOLI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "520-309-3959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARM D"
    },
    "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": "Y005258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356584",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Rio Pascua Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Rio Pascua 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 Sep 11, 2018; 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.