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Export Provider Record NPI 1104290022
Sun Life Family Health Center, Inc.
Organization Subpart: NO
Active
NPI Number1104290022
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Clinic Pharmacy
Provider Details
NPI1104290022
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2015-11-16
Last Updated2017-08-03
Authorized OfficialMatthew Bartsch
Director of Pharmacy/AO
Phone: 5203810383
Mailing AddressPo Box 10097
Casa Grande, AZ 85130-0020
United States
Phone: (520) 836-3446 | Fax: (520) 836-8807
📍 View Map
Primary Practice Address44572 W Bowlin Rd
Maricopa, AZ 85138-4558
United States
Phone: (520) 568-2245 | Fax: (520) 568-2316
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0002X – Pharmacy, Clinic PharmacyAZY006439
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About NPI 1104290022

Sun Life Family Health Center, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104290022. The primary specialty listed is Pharmacy, Clinic Pharmacy. The organization is located in Maricopa, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-11-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104290022?

NPI 1104290022 belongs to Sun Life Family Health Center, Inc., a Pharmacy, Clinic Pharmacy in Maricopa, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104290022 active?

The current status of NPI 1104290022 in the NPPES registry is Active. The record was last updated on 2017-08-03.

What specialty is NPI 1104290022?

NPI 1104290022 is classified under the taxonomy Pharmacy, Clinic Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104290022?

You can verify NPI 1104290022 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104290022?

The primary practice address on file for NPI 1104290022 is 44572 W Bowlin Rd, Maricopa, AZ 85138-4558. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104290022 issued?

NPI 1104290022 was first issued (enumerated) on 2015-11-16. The NPPES record was last updated on 2017-08-03.

Practice Location Map

Sun Life Family Health Center, Inc. is located at 44572 W Bowlin Rd, Maricopa, AZ. Use the map below to find directions or verify the practice location.

📍 44572 W Bowlin Rd, Maricopa, AZ 85138-4558  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sun Life Family Health Center, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104290022. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Clinic PharmacyY006439AZ
Data Verified from CMS NPPES Last synced: 2026-08-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162