Primary Health-Smmpp, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

6870 Issued in AZ

Legal business name

PRIMARY HEALTH-SMMPP, LLC

Practice address

10860 N Mavinee Dr
Oro Valley, AZ 85737-9526

Phone

(520) 297-3800

Fax

(520) 297-3466

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Jerald R Cacciatore, R PH

Title

Ceo President

Phone

(520) 297-3800

Specialties & licenses 1

Addresses

Other names 1

• PRI SMMPP LLC Other name

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982823712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 N MAVINEE DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379526",
            "telephone_number": "520-297-3800",
            "fax_number": "520-297-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 N MAVINEE DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379526",
            "telephone_number": "520-297-3800",
            "fax_number": "520-297-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH-SMMPP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CACCIATORE",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "520-297-3800",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRI SMMPP LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.