SUN LIFE FAMILY HEALTH CENTER
NPI 1104290022
Pharmacy - Clinic Pharmacy in Maricopa, AZ

NPI Status: Active since November 16, 2015

Contact Information

44572 W BOWLIN RD
MARICOPA, AZ
ZIP 85138
Phone: (520) 568-2245
Fax: (520) 568-2316

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  • Organization
  • Pharmacy
  • Clinic Pharmacy
  • CLIA Number: 03D2094547
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-19-2027

About SUN LIFE FAMILY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Sun Life Family Health Center, a provider established in Maricopa, Arizona operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1104290022 assigned on November 2015. The practitioner's primary taxonomy code is 3336C0002X with license number Y006439 (AZ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Sun Life Family Health Center. The authorized official of this NPI record is Matthew Bartsch (Director Of Pharmacy/ao)

NPI
1104290022
Provider Legal Name
SUN LIFE FAMILY HEALTH CENTER, INC.
Other Organization Name
SUN LIFE FAMILY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
44572 W BOWLIN RD MARICOPA, AZ 85138
Location Phone
(520) 568-2245
Location Fax
(520) 568-2316
Mailing Address
PO BOX 10097 CASA GRANDE, AZ 85130
Mailing Phone
(520) 836-3446
Mailing Fax
(520) 568-2316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2015
Last Update Date
08-03-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
Y006439
License State
AZ
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW BARTSCH

Authorized Official Title
DIRECTOR OF PHARMACY/AO
Authorized Official Phone
(520) 381-0383

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2094547
Facility Type
Community Clinic
Certificate Effective Date
April 20, 2025
Certificate Expiration Date
April 19, 2027
Laboratory Director
EDDIE ESTRADA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sun Life Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104290022, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 9 + 0 + 0 + 4 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104290022.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
44572 W BOWLIN RD
MARICOPA, AZ 85138
Pediatrics
44572 W BOWLIN RD
MARICOPA, AZ 85138
Nurse Practitioner (Primary Care)
44572 W BOWLIN RD
MARICOPA, AZ 85138
Family Medicine
44572 W BOWLIN RD
MARICOPA, AZ 85138
Pharmacy (Community/Retail Pharmacy)
44572 W BOWLIN RD
MARICOPA, AZ 85138
Physician Assistant
44572 W BOWLIN RD
MARICOPA, AZ 85138
Nurse Practitioner (Family)
44572 W BOWLIN RD
MARICOPA, AZ 85138
Physician Assistant
44572 W BOWLIN RD
MARICOPA, AZ 85138

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104290022, enumerated as an "organization" on November 16, 2015.

The provider is located at 44572 W BOWLIN RD MARICOPA, AZ 85138 and the phone number is (520) 568-2245.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.