Bethany Home Discount Pharmacy LLC
NPI 1154975043 · Community/Retail Pharmacy · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethany Home Discount Pharmacy LLC is a Community/Retail Pharmacy organization in Glendale, AZ (NPI 1154975043).
Provider details
- NPI number
- 1154975043
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sushmitha Godishala, Member(602) 585-2901
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
120 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 42 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 37 | $39 |
| Administration of Pneumococcal, Influenza, Hepatitis B, And/Or Covid-19 Vaccine Inside a Patient'S Home; Reported Only Once Per Individual Home Per Date of Service When Such Vaccine Administration(s) Are Performed at the Patient'S HomeM0201 | 28 | $37 |
| Administration of Pneumococcal VaccineG0009 | 13 | $31 |
Typical Medicare-allowed amounts for these services range $30–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bethany Home Discount Pharmacy
- Doing business as
- Bethany Home Discount Pharmacy
Registry dates
- Enumerated
- 2019-07-29
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Frequently asked questions
- What is Bethany Home Discount Pharmacy LLC's NPI number?
- Bethany Home Discount Pharmacy LLC's National Provider Identifier (NPI) is 1154975043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethany Home Discount Pharmacy LLC?
- Bethany Home Discount Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bethany Home Discount Pharmacy LLC located?
- Bethany Home Discount Pharmacy LLC's practice location on file with NPPES is 6601 W Bethany Home Rd Ste A10, Glendale, AZ 85301-4946.
- What is Bethany Home Discount Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Bethany Home Discount Pharmacy LLC is (623) 440-7717.
- Does Bethany Home Discount Pharmacy LLC accept Medicare?
- Bethany Home Discount Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bethany Home Discount Pharmacy LLC?
- The authorized official listed on Bethany Home Discount Pharmacy LLC's NPPES record is Sushmitha Godishala, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethany Home Discount Pharmacy LLC's NPI active?
- Yes — Bethany Home Discount Pharmacy LLC's NPI (1154975043) is active in the NPPES registry as of the last update on 2022-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.