Organization Active NPI

St Marys Medical Park Pharmacy Inc

Doing business as Managed Pharmacy Programs

  • Pharmacist
  • Oro Valley, AZ
National Provider Identifier
1992924161
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6870 Issued in AZ
Legal business name
ST MARYS MEDICAL PARK PHARMACY INC
Doing business as
Managed Pharmacy Programs
Practice address
10860 N Mavinee Dr
Oro Valley, AZ 85737-9526
Phone
(520) 837-0120
Fax
(520) 297-3466
NPI assigned
Apr 25, 2007
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mr. Adam Davis
Title
Director of Operations
Phone
(520) 837-0146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 6870 AZ Primary

Addresses

Primary practice location

10860 N Mavinee Dr
Oro Valley, AZ 85737-9526

Mailing address

10860 N Mavinee Dr
Oro Valley, AZ 85737-9526
Phone (520) 837-0120

Other names 1

  • Managed Pharmacy Programs Doing business as

National Provider Directory

National Provider Directory

Locations

10860 N Mavinee Dr
Oro Valley, AZ 85737
Phone (520) 297-3800

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1992924161",
    "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": "520-837-0120",
            "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": "520-837-0120",
            "fax_number": "520-297-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS MEDICAL PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "520-837-0146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Managed Pharmacy Programs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Managed Pharmacy Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.