STATE OF ARIZONA (NPI# 1396845343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396845343 |
| Entity Type | Organization |
| Organization Name | STATE OF ARIZONA |
| Other Organization Name | CAMPUS HEALTH SERVICE PHARMACY |
| Practice Address |
1224 E Lowell St Tucson AZ 85721-0095 |
| Practice Telephone | 5206216516 |
| Practice Fax Number | 5206268628 |
| Mailing Telephone | 5206216516 |
| Mailing Fax Number | 5206268628 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | KIM BIRMINGHAM (CHIEF PHARMACIST) |
| Authorized Official Telephone | 5206216516 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
000501 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0322379 | 01 |
| Other Name | Type Code |
|---|---|
| CAMPUS HEALTH SERVICE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578752762 | State of Arizona | Pharmacy | 24601 N 29th Ave, Phoenix, AZ 85083-1165 | 2007-10-24 |
| 1730295684 | State of Arizona | Pharmacy | 1295 N Martin, Tucson, AZ 85721-0001 | 2006-08-22 |
| 1538170162 | State of Arizona | Pharmacy | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2006-08-10 |
| Street Address |
1224 E LOWELL ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85721-0095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143365 | Bruce Helming | Family Medicine | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2006-02-17 |
| 1649749193 | Mark Woodburn | Pharmacist | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2018-11-14 |
| 1073028635 | Mary Ann Belknap | Counselor | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2017-12-05 |
| 1235641903 | Lauren Hayes | Psychologist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2017-11-02 |
| 1437686391 | Kacey Greening | Psychologist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2017-05-22 |
| 1558814756 | Kelly Jo Kurtz | Marriage & Family Therapist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2016-07-25 |
| 1881069599 | Rose Mary Jacob I | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2015-12-07 |
| 1124492301 | Karen Schwartz | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2015-11-25 |
| 1437523164 | Amy Direnfeld | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2015-11-18 |
| 1316311095 | Cecilia Ann Martinez | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598701 | Patti Norris | Counselor | 1224 E. Lowell St. Bldg. 95, Tucson, AZ 85721 | 2018-11-27 |
| 1275976706 | Elle Ross | Internal Medicine | 5265 E. Knight Drive, Tucson, AZ 85721 | 2013-04-15 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1053509679 | University of Arizona | Audiologist | 1131 E. 2nd Street, Tucson, AZ 85721 | 2007-10-09 |
| 1730307083 | Trae Tashiro | Specialist/Technologist | 1 National Championship Drive, Mckale Center N108, Tucson, AZ 85721 | 2007-04-23 |
| 1275661332 | The University of Arizona College of Pharmacy | Pharmacist | 220 W 6th St. Usa B113, Tucson, AZ 85721 | 2007-03-01 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1669520730 | Linda Lundergan | Preventive Medicine | Campus Health University of Arizona, 1224 E. Lowell, Tucson, AZ 85721 | 2007-01-08 |
| 1861590242 | Cynthia Klatte | Social Worker | 1224 E. Lowell Street, Counseling & Psych. Services, Tucson, AZ 85721 | 2006-09-20 |
| 1184696122 | Stella Kidwell | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85721 | 2006-02-03 |
| Find all providers in zip 85721 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1154688927 | Marana Health Center Inc | Pharmacy | 899 N Wilmot Rd Ste B, Tucson, AZ 85711-1712 | 2012-04-18 |
| 1730295684 | State of Arizona | Pharmacy | 1295 N Martin, Tucson, AZ 85721-0001 | 2006-08-22 |
| 1275519241 | El Rio Health Center (southwest) | Pharmacy | 1510 W Commerce Court, Tucson, AZ 85746-6015 | 2005-12-21 |
| 1073072450 | Marana Health Center, Inc | Pharmacy | 2325 N Wyatt Dr, Tucson, AZ 85712-2121 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989168 | Community Hospital Association, Inc. | Pharmacy | 26750b S. Santa Fe Rd., Congress, AZ 85332 | 2019-06-04 |
| 1245357706 | West Kingman Pharmacy, LLC | Pharmacy | 3135 N Stockton Hill Rd, Kingman, AZ 86401 | 2007-03-22 |
| 1649334442 | North Country Healthcare, Inc. | Pharmacy | 2920 North 4th Street, Flagstaff, AZ 86004 | 2006-12-19 |
| 1023122843 | Cardiojost, Inc | Pharmacy | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2006-08-18 |
| 1376502054 | Sunset Community Health Center Inc | Pharmacy | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-03-21 |
| 1447242417 | Cigna Health Care of Arizona Inc | Pharmacy | 1920 E Baseline Rd, Tempe, AZ 85283-1511 | 2005-08-16 |
| 1992797930 | Cigna Health Care of Arizona Inc | Pharmacy | 9069 W Thunderbird, Peoria, AZ 85381 | 2005-08-16 |
| 1528678000 | Sun Life Family Health Center Inc | Pharmacy | 1040 W American Ave, Oracle, AZ 85623-6089 | 2020-08-09 |
| 1396240149 | Sunset Community Health Center Inc | Pharmacy | 675 S Avenue B, Yuma, AZ 85364-2749 | 2018-03-26 |
| 1104290022 | Sun Life Family Health Center, Inc. | Pharmacy | 44572 W Bowlin Rd, Maricopa, AZ 85138-4558 | 2015-11-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF ARIZONA.
| 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.