Healthcare Provider Details

I. General information

NPI: 1588442701
Provider Name (Legal Business Name): JUSTIN TARANTO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14696 N FRANK LLOYD WRIGHT BLVD
SCOTTSDALE AZ
85260-2043
US

IV. Provider business mailing address

14696 N FRANK LLOYD WRIGHT BLVD
SCOTTSDALE AZ
85260-2043
US

V. Phone/Fax

Practice location:
  • Phone: 480-391-1186
  • Fax:
Mailing address:
  • Phone: 480-391-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number070828
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: