SUN LIFE FAMILY HEALTH CENTER INC (NPI# 1063887149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063887149 |
| Entity Type | Organization |
| Organization Name | SUN LIFE FAMILY HEALTH CENTER INC |
| Other Organization Name | SUN LIFE FAMILY HEALTH CENTER-MARICOPA |
| Practice Address |
44572 W Bowlin Rd Maricopa AZ 85138-4558 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85130-0020 |
| Practice Telephone | 5203507646 |
| Practice Fax Number | 5203813237 |
| Mailing Telephone | 5208363446 |
| Mailing Fax Number | 5203813237 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MATTHEW BERTSCH (DIRECTOR OF PHARMACY/AO) |
| Authorized Official Telephone | 5203810363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y006493 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 088592 | 05 | |
| PK | 2154949 | 01 |
| Other Name | Type Code |
|---|---|
| Sun Life Family Health Center-Maricopa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678000 | Sun Life Family Health Center Inc | Pharmacy | 1040 W American Ave, Oracle, AZ 85623-6089 | 2020-08-09 |
| 1063999837 | Sun Life Family Health Center Inc | Clinic/Center | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2018-07-25 |
| Street Address |
44572 W BOWLIN RD |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85138-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365957 | James Michael Underwood | Pediatrics | 44572 W Bowlin Rd, Maricopa, AZ 85138 | 2005-06-13 |
| 1881228567 | Lekha Manu Nair | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2020-03-02 |
| 1538710595 | Ashley Nichole Hanners | Registered Nurse | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2019-09-21 |
| 1396262390 | Bernadette Marie Crovedi | Registered Nurse | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2017-08-29 |
| 1154869063 | Scott Vernile Thompson | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2017-02-10 |
| 1942759279 | Joanne Ngocdung Ho | Physician Assistant | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2016-09-28 |
| 1104290022 | Sun Life Family Health Center, Inc. | Pharmacy | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2015-11-16 |
| 1386074284 | Pilar Hoffsten | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2013-11-14 |
| 1811247026 | Swagata Chakraborty | Family Medicine | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2012-09-14 |
| 1003839176 | Dana M. Rodriguez | Nurse Practitioner | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
| 1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
| 1922657964 | Cathy Jo Rogers | Registered Nurse | 18600 North Porter Road, Maricopa, AZ 85138 | 2019-09-11 |
| 1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
| 1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
| 1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
| 1063939411 | Christina Kern | Specialist/Technologist | 42623 W. Colby Dr., Maricopa, AZ 85138 | 2017-08-26 |
| 1205357191 | Konadu Family | Community Based Residential Treatment Facility, Mental Illness | 40030 W Coltin Way, Maricopa, AZ 85138 | 2017-06-29 |
| Find all providers in zip 85138 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790889681 | German Dobson Cvs LLC | Pharmacy | 44274 W Smith Enke Rd, Maricopa, AZ 85138-2719 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.