NPIMap

Organization Active NPI

Diversified Pharmacy Solutions LLC

  • Community/Retail Pharmacy
  • Oro Valley, AZ
National Provider Identifier
1871865543
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005470 Issued in AZ
Legal business name
DIVERSIFIED PHARMACY SOLUTIONS LLC
Practice address
1171 E Rancho Vistoso Blvd Ste 131
Oro Valley, AZ 85755-9101
Phone
(520) 818-2883
Fax
(520) 818-1833
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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
Community/Retail Pharmacy 3336C0003X Y005470 AZ Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1171 E Rancho Vistoso Blvd Ste 131
Oro Valley, AZ 85755-9101

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0357360OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • wilmot pharmacy alc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diversified Pharmacy Solutions LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1871865543",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E RANCHO VISTOSO BLVD STE 131",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559101",
            "telephone_number": "520-818-2883",
            "fax_number": "520-818-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED PHARMACY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-03-27",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005470",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0357360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wilmot pharmacy alc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.