NPIMap

Organization Active NPI

Acacia Apothecary and Wellness LLC

  • Pharmacy
  • Tucson, AZ
National Provider Identifier
1992127682
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
Y005818 Issued in AZ
Legal business name
ACACIA APOTHECARY AND WELLNESS LLC
Practice address
1845 W Orange Grove Rd
Suite 115
Tucson, AZ 85704-1134
Phone
(520) 670-0777
Fax
(520) 620-9738
NPI assigned
Jan 14, 2014
Organization subpart
Yes
Parent organization
REVELATION PHARMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Dr. Sage Suffecool, PHARM D
Title
Pharmacist in Charge
Phone
(520) 670-0777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Y005818 AZ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1845 W Orange Grove Rd
Suite 115
Tucson, AZ 85704-1134

Mailing address

1845 W Orange Grove Rd Ste 115
Tucson, AZ 85704-1146
Phone (520) 670-0777

Other names 2

  • Acacia Apothecary and Wellness Doing business as
  • Acacia Apothecary and Wellness LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acacia Apothecary and Wellness2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1992127682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W ORANGE GROVE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041146",
            "telephone_number": "520-670-0777",
            "fax_number": "520-488-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W ORANGE GROVE RD",
            "address_2": "SUITE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041134",
            "telephone_number": "520-670-0777",
            "fax_number": "520-620-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA APOTHECARY AND WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVELATION PHARMA",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "SUFFECOOL",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "520-670-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005818",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acacia Apothecary and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acacia Apothecary and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acacia Apothecary and Wellness LLC",
            "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 Jan 21, 2026; 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.