Tucson Medical Center
Organization Active NPI Community/Retail Pharmacy · Tucson, AZ
NPI 1972876563 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1972876563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- Y000029 (AZ)
- Legal business name
- TUCSON MEDICAL CENTER
- Practice address
- 5301 E Grant Rd
Tucson, AZ 85712-2805 - Phone
- (520) 324-1890
- Fax
- (520) 324-2529
- NPI assigned
- Feb 14, 2012
- Organization subpart
- No
Authorized official
- Name
- Steve Reichling
- Title
- Cfo
- Phone
- (520) 324-2701
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 8
Practitioners 99
-
Thomas Bobka, MD
-
Samir Y Dahdal, M.D.
-
Rajen D Desai, MD
-
Vijay Arun Doraiswamy, MD, MBA
-
Ashlee Farrer Garcia, AGAC-NP-BC
-
Neil M Gheewala, M.D.
-
Susan J Kalota, MD
-
Codyjo Kenneth Kraemer, M.D.
-
Nader Makki, MD
-
Kioumars Mostafizi, M.D.
-
Jitender Munjal, MD
-
Darren F Peress, MD
-
Vikram Prasad, M.D.
-
Jolyon David Schilling, M.D.
-
Gundeep Singh, M.D.
-
Juan Arturo Siordia Jr., M.D.
-
Peter H Spooner, MD
-
Thomas E Waggoner I, D.O.
-
Hitesh Chawla, M.D.
-
Ganesh Gajanan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Tucson Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| TMC Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250514000543 | AZ | Part B Supplier - Pharmacy | 4284527227 | Practice locations: Tucson, AZ |
National Provider Directory
- Tax ID family
- Alban Medical Associate
Locations
McNabb Hwy 76
San Manuel, AZ 85631
Phone (520) 324-3005
2380 N Ferguson Ave
Ste 100
Tucson, AZ 85712
Phone (520) 324-4230
5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727
10350 E Drexel Rd
Ste 250
Tucson, AZ 85747
Phone (520) 420-2540
5335 E Erickson Dr
Fl 1
Tucson, AZ 85712
2404 E River Rd
Ste 132
Tucson, AZ 85718
5355 E Erickson Dr
Tucson, AZ 85712
Phone (520) 299-8200
2070 W Rudasill Rd
Ste 100
Tucson, AZ 85704
Phone (520) 420-2580
1400 N Wilmot Rd
Fl First
Tucson, AZ 85712
9348 E Rita Rd
#B
Tucson, AZ 85747
5395 E Erickson Dr
Ste 101
Tucson, AZ 85712
Phone (520) 324-5123
2100 N Rosemont Blvd
Ste 100
Tucson, AZ 85712
Phone (520) 795-6557
5310 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Y000029 | AZ | Yes |
Addresses
Primary practice location
5301 E Grant Rd
Tucson, AZ 85712-2805
Mailing address
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-1890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357409 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Tucson Medical Center Outpatient Pharmacy
Other providers in Tucson, AZ
- Tucson Medical Center
- Tucson Medical Center
- Tucson Medical Center
- Tucson Medical Center
- Tucson Medical Center
- Tucson Medical Investors LLC
- Tucson Medical Ventures LLC
- Tucson Mountain Dental
- Tucson Mountain Senior Living LLC
- Tucson Musculoskeletal LLC
All providers in Tucson, AZ · Community/Retail Pharmacy in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.