PHARMERICA MOUNTAIN LLC


Address: 3700 E Columbia St, Suite 100, Tucson, AZ 85714
Phone: 8002526721

PHARMERICA MOUNTAIN LLC (NPI# 1467464925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467464925
Entity Type Organization
Organization Name PHARMERICA MOUNTAIN LLC
Other Organization Name PHARMERICA
Practice Address 3700 E Columbia St
Suite 100
Tucson
AZ 85714
Mailing Address 3802 Corporex Park Dr Ste 150
Tampa
FL 33619-1135
Practice Telephone 8002526721
Practice Fax Number 8002826729
Mailing Telephone 8133186039
Mailing Fax Number 8008256408
Enumeration Date 2006-08-13
Last Update Date 2020-10-22
Authorized Official Name MR. STEVEN S. REED (VICE PRESIDENT)
Authorized Official Telephone 5023942100
Is Organization Subpart Y
Parent Organization Name PHARMERICA CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
4203 AZ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300012682 05
AZ BOARD OF PHARMACY Y007461 01
AZ 920208 05

Other Provider/Organization Names

Other Name Type Code
PharMerica Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760494033 Pharmerica Mountain LLC Pharmacy 2950 E Magic View Dr Ste 190, Meridian, ID 83642 2006-08-13
1346261575 Pharmerica Mountain LLC Pharmacy 3825 W Cheyenne Ave # 603, North Las Vegas, NV 89032-3408 2006-07-22

Office Location

Street Address 3700 E COLUMBIA ST
SUITE 100
City TUCSON
State AZ
Zip Code 85714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194265900 Mark Lattimore Pharmacist 3700 E Columbia St, Suite 100, Tucson, AZ 85714-3412 2017-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093270035 El Rio Santa Cruz Neighborhood Health Center Inc Pharmacy 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 2019-02-04
1558868422 Southern Arizona Urgent Care, LLC Clinic/Center 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 2018-04-09
1629525415 Kayla Iwahashi Physician Assistant 2900 E Milber St, Tucson, AZ 85714 2016-09-08
1356790158 Banner Umc Dpec Nutritionist 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 2016-06-13
1811305634 Johannes Kieding Social Worker 3939 S Park Ave Ste 150, Tucson, AZ 85714 2014-07-24
1982962221 Orthomed, LLC Clinic/Center 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 2012-04-24
1588952089 Crisis Response Network of Southern Arizona, Inc. Community/Behavioral Health 2802 East District Street, Tucson, AZ 85714 2011-07-18
1780904805 Ana E Araiza Rojas Dietitian, Registered 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 2010-06-11
1710117668 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1210 E Pennsylvania St, Tucson, AZ 85714 2009-07-24
1639319049 Ronnie C William Internal Medicine 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 2009-02-25
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336749860 Adepa Pharmacy Pllc Pharmacy 8770 N Thornydale Rd, Tucson, AZ 85742-9096 2020-10-26
1912366774 Pharmcare Usa of Greater Phoenix LLC Pharmacy 1835 S Alvernon Way Ste 202, Tucson, AZ 85711-5693 2016-02-22
1710388384 Pharmacy Care Provider LLC Pharmacy 1135 N Jefferson Ave, Tucson, AZ 85712-5009 2014-09-15
1609256817 Ho Kim Thu PC Pharmacy 5523 E Grant Rd, Tucson, AZ 85712-2209 2015-06-02
1639416084 Genoa Healthcare, LLC Pharmacy 630 N Alvernon Way, 1st Fl, Suite 161, Tucson, AZ 85711-1843 2013-01-04
1104185131 Genoa Healthcare, LLC Pharmacy 2435 N Castro Ave, Tucson, AZ 85705-5060 2012-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493705 Cd Pharmacy LLC Pharmacy 2710 S Roosevelt St, Tempe, AZ 85282-2089 2020-10-04
1326695545 Lifecare Pharmacy Yuma LLC Pharmacy 2514 South Ave A, Suite 2, Yuma, AZ 85365 2019-08-22
1912312315 East Valley Patient Care Services Pharmacy 218 W Hampton Ave, #4, Mesa, AZ 85210-5231 2014-06-24
1235565581 Guardian Pharmacy of Tucson LLC Pharmacy 10900 N Stallard Pl, Oro Valley, AZ 85737-9544 2013-09-18
1972944221 Genoa Healthcare, LLC Pharmacy 1500 S White Mountain Rd, Bldg 3, Suite 302, Show Low, AZ 85901-7929 2013-07-16
1730422601 Genoa Healthcare, LLC Pharmacy 10240 N 31st Ave Ste 210, Phoenix, AZ 85051-9565 2013-03-29
1093067670 Genoa Healthcare, LLC Pharmacy 15317 W Bell Rd Ste 106, Suite 106, Surprise, AZ 85374-3901 2012-10-08
1811248479 Palliative Pharmacy Partners LLC Pharmacy 1843 E Southern Ave, 102, Tempe, AZ 85282-5831 2012-09-24
1316264716 Bnr Healthcare Corp Pharmacy 1580 N Fiesta Blvd Ste 103, Ste 103, Gilbert, AZ 85233-1032 2010-04-23
1457581365 Valley Pharmacy Pharmacy 2960 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7822 2009-07-27
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Competitor

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City TUCSON
Zip Code 85714

Improve Information

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Dataset Information

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.

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