Organization Active NPI

BNR Healthcare Corp

Doing business as Medical Arts LTC Pharmacy of Tucson

  • Long Term Care Pharmacy
  • Tucson, AZ
National Provider Identifier
1902240427
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BNR HEALTHCARE CORP
Doing business as
Medical Arts LTC Pharmacy of Tucson
Practice address
620 N Country Club Rd Ste 112
Tucson, AZ 85716-4504
Phone
(480) 253-3100
Fax
(480) 497-3784
NPI assigned
Apr 26, 2013
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Yefim Fred Iskhakov
Title
President
Phone
(480) 253-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

620 N Country Club Rd Ste 112
Tucson, AZ 85716-4504

Mailing address

2222 S Dobson Rd BLDG 9
Mesa, AZ 85202-6481
Phone (480) 253-3100

Other names 1

  • MEDICAL ARTS LTC PHARMACY OF TUCSON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BNR Healthcare Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1580 N Fiesta Blvd
Ste 103
Gilbert, AZ 85233
Phone 48025331001

3532 E Grant Rd
Tucson, AZ 85716

620 N Country Club Rd
Ste 112
Tucson, AZ 85716
Phone (480) 253-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1902240427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S DOBSON RD BLDG 9",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026481",
            "telephone_number": "480-253-3100",
            "fax_number": "480-497-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N COUNTRY CLUB RD STE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164504",
            "telephone_number": "480-253-3100",
            "fax_number": "480-497-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNR HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2024-07-18",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOV",
        "authorized_official_first_name": "YEFIM",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-253-3100"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS LTC PHARMACY OF TUCSON",
            "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 Jul 18, 2024; 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.