Dr. Paloma Buls , PharmD
Pharmacist • Vail, AZ
13542 E Colossal Cave Rd
Vail, AZ 856418849
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 25, 2018; this date does not establish years in practice.
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Published CMS data list 61 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Arexvy (Rsvpref3 Antigen/As01e/Pf) — 24 prescription fills, including refills.
- Shingrix (Varicella-Zoster Ge/As01b/Pf) — 22 prescription fills, including refills.
- Boostrix Tdap (Diphth,pertuss(Acell),tet Vac) — 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 60% of clinicians listed under Pharmacist in Arizona (2024, 1,670 clinicians with data). Median for this group: 82. Middle half: 45 to 135.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 72 in 2020 to 61 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
13542 E Colossal Cave Rd
Vail, AZ 856418849
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Tucson, AZ. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Pharmacist: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
61 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$8,912 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Vail and Arizona
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Pharmacist in Arizona (2024, 1,670 clinicians with data). Median for this group: 82. Middle half: 45 to 135.
Too few clinicians listed under Pharmacist in Vail have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Pharmacist in Arizona (2024, 1,670 clinicians with data). Median for this group: $16,580. Middle half: $9,866 to $26,790.
Too few clinicians listed under Pharmacist in Vail have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Pharmacist with a practice address in Vail, AZ (6,750 in Arizona).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 15% from 72 in 2020 to 61 in 2024.
- 2020: 72
- 2021: 105
- 2022: 74
- 2023: 70
- 2024: 61
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30-day fills
30-day fills decreased 15% from 72 in 2020 to 61 in 2024.
- 2020: 72
- 2021: 105
- 2022: 74
- 2023: 70
- 2024: 61
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Part D drug cost
Part D drug cost decreased 31% from $12,860 in 2020 to $8,912 in 2024.
- 2020: $12,860
- 2021: $18,039
- 2022: $12,443
- 2023: $12,844
- 2024: $8,912
Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 24 | 24 | $4,365.69 | 24 |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 22 | 22 | $3,740.33 | 20 |
| Boostrix Tdap | Diphth,pertuss(Acell),tet Vac | 15 | 15 | $806.13 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-01-03NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Secondary Practice Locations
11358 E Saint James Rd
Tucson, AZ 857487313
Phone: 3253744756
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 13542 E COLOSSAL CAVE RD, VAIL, AZ 856418849 (Tel: 5202961315)
Registered at 13542 E COLOSSAL CAVE RD, VAIL, AZ 856418849 (Tel: 5202322763)
Recorded as PALOMA BULS, PHARMD
Pharmacist (license number reported to NPPES: AZ S023303)
Registered at 9470 E GOLF LINKS RD, TUCSON, AZ 85730 (Tel: 5202961315)
Registered at 9470 E GOLF LINKS RD, TUCSON, AZ 857301354 (Tel: 3253744756)
NPI status registered as active in NPPES database
Registered at 11358 E SAINT JAMES RD, TUCSON, AZ 857487313 (Tel: 3253744756)
Registered at 11358 E SAINT JAMES RD, TUCSON, AZ 857487313 (Tel: 3253744756)
Recorded as PALOMA APODACA, PHARMD
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: AZ I011689)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Pharmacists in Vail
Mailing Address
13542 E Colossal Cave Rd
Vail, AZ 856418849
Phone: 5202322763