Pharmcare USA of Greater Phoenix LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

Y006690 Issued in AZ

Legal business name

PHARMCARE USA OF GREATER PHOENIX LLC

Doing business as

Pharmcare USA of Tuscon

Practice address

1835 S Alvernon Way Ste 202
Tucson, AZ 85711-5693

Phone

(602) 438-9301

Fax

(405) 663-4114

NPI assigned

Feb 22, 2016

Last updated

Mar 24, 2017By 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

Erica Creswell

Title

Executive Administrative Asst. to P

Phone

(405) 204-9783

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharmcare USA of Tuscon Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pharmcare USA of Greater Phoenix LLC

  dba Pharmcare USA of Greater Phoenix

  • Long Term Care Pharmacy
  • Phoenix, AZ
  • NPI 1740648708

  6002178936

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pharmcare USA of Greater Phoenix LLC

  dba Pharmcare USA of Greater Phoenix

  • Long Term Care Pharmacy
  • Phoenix, AZ
  • NPI 1740648708

  O20200505001194

  Same enrollment

Locations

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.

• Rebekah Lynn Ford, PHARMD

  • Pharmacist
  • Tucson, AZ
  • NPI 1639849862
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1912366774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 365",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "73048",
            "telephone_number": "405-663-4111",
            "fax_number": "405-663-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S ALVERNON WAY STE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857115693",
            "telephone_number": "602-438-9301",
            "fax_number": "405-663-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCARE USA OF GREATER PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "CRESWELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATIVE ASST. TO P",
        "authorized_official_telephone_number": "405-204-9783"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y006690",
            "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": "PK",
            "identifier": "2158171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmcare USA of Tuscon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Pham
• Trang Pham
• Hanna Phan, PHARM.D., BCPS
• Anita Anh Thu Phancao, M.D
• Pharmacy Care Provider LLC
• Pharos Diagnostics LLC
• Julia Pheifer, R.PH.
• Carol Lee Phelan-Smith, OTR/L CHT
• Cathleen M Phelan, LMSW
• Bonnie M Phelps, PHD, HMA

• Pharmacy in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.