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SPECTRUM PHARMACY
NPI 1558415992
Pharmacy - Long Term Care Pharmacy in Tucson, AZ

Active since January 23, 2007
6250 E GRANT RD, STE 388, TUCSON, AZ 85712(520) 296-0317(520) 296-0417 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spectrum Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM PHARMACY (NPI 1558415992) is a healthcare organization registered as a long term care pharmacy in Tucson, Arizona and active in the NPI registry since January 2007. The organization lists James Toomey, Owner, as its authorized official.

NPPES Registry Identity

NPI1558415992
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePORTABLE MEDICAL PHARMACY
Location Address6250 E GRANT RD, STE 388Tucson, AZ 85712-5805
Mailing Address5538 Duncan DrLas Vegas, NV 89130-2812 · (702) 939-6562 · Fax (702) 939-6569
Phone(520) 296-0317
Fax(520) 296-0417
Organization SubpartNo
Authorized OfficialJames ToomeyOwner · (702) 491-6447
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMarch 6, 2017
✔ NPI 1558415992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in AZ · 4292
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
6250 E GRANT RD, Tucson, AZ 85712
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Other Names 1

Doing Business AsSpectrum Pharmacy

Other Identifiers 2

Other1991946Pk
Medicaid962755AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20210120001773Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVON GABLES SRL CENTER
Assisted Living Facility
6250 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 296-6181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portable Medical Pharmacy's NPI number?

The NPI number for Portable Medical Pharmacy is 1558415992. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Spectrum Pharmacy.

Where is Portable Medical Pharmacy located?

Portable Medical Pharmacy is located at 6250 E Grant Rd Ste 388, Tucson, AZ 85712. The listed phone number is (520) 296-0317.

What is Portable Medical Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Is Portable Medical Pharmacy enrolled in Medicare?

Yes. Portable Medical Pharmacy is registered in the Medicare PECOS enrollment system.

When is Portable Medical Pharmacy's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Portable Medical Pharmacy accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., BlueCross BlueShield of Tennessee, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. list Portable Medical Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portable Medical Pharmacy was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.