BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC (NPI# 1588614911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588614911 |
Entity Type | Organization |
Organization Name | BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC |
Practice Address |
1501 N Campbell Ave Tucson AZ 85724-0001 |
Practice Telephone | 5206942491 |
Practice Fax Number | 5206942564 |
Mailing Telephone | 5206942491 |
Mailing Fax Number | 5206942564 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2017-11-15 |
Authorized Official Name | MATTHEW COX (SR VP FINANCE) |
Authorized Official Telephone | 6027474000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Y006243 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2150865 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417417221 | Banner - University Medical Center Tucson Campus LLC | Durable Medical Equipment & Medical Supplies | 1501 N Campbell Ave Rm 6604, Tucson, AZ 85724-0001 | 2019-03-20 |
Street Address |
1501 N CAMPBELL AVE |
City | TUCSON |
State | AZ |
Zip Code | 85724-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
Find all providers in zip 85724 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386798809 | Tucson Iv Therapy, LLC | Pharmacy | 1997 W Price St, Tucson, AZ 85705-2218 | 2007-01-22 |
1952842239 | Amerita Inc | Pharmacy | 2002 N Forbes Blvd, Suite 104, Tucson, AZ 85745-1418 | 2017-03-20 |
1275921082 | Banner -- University Medical Center Tucson Campus LLC | Pharmacy | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2014-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457872632 | Twelfth One, LLC | Pharmacy | 2227 W Pecos Rd Ste 12, Chandler, AZ 85224-4866 | 2017-06-28 |
1750550216 | Yuma Infusion Therapy, LLC | Pharmacy | 2170 1/2 W 24th St, Yuma, AZ 85364 | 2008-02-28 |
1851577290 | Korman LLC | Pharmacy | 5783 W Erie St, Chandler, AZ 85226-2749 | 2008-01-16 |
1629029251 | Accredo Health Group Inc | Pharmacy | 2040 W Rio Salado Pkwy, Suite 101b, Tempe, AZ 85281-2802 | 2006-05-16 |
1801495247 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2020-10-17 |
1073982120 | Vitalab Pharmacy Inc | Pharmacy | 4045 E Bell Rd Ste 157, Suite 157, Phoenix, AZ 85032 | 2015-09-18 |
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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.