MARICOPA COUNTY D.B.A. MARICOPA COUNTY DEPART (NPI# 1144723495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144723495 |
| Entity Type | Organization |
| Organization Name | MARICOPA COUNTY D.B.A. MARICOPA COUNTY DEPART |
| Practice Address |
1645 E Roosevelt St Phoenix AZ 85006-3638 |
| Practice Telephone | 6023722544 |
| Practice Fax Number | 6023720342 |
| Mailing Telephone | 6023722544 |
| Mailing Fax Number | 6023720342 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | DIANE DEJONGE-RYAN (PROGRAM MANAGER) |
| Authorized Official Telephone | 6023722544 |
| Authorized Official Credential | MA |
| Is Organization Subpart | Y |
| Parent Organization Name | MARICOPA COUNTY D.B.A. MARICOPA COUNTY DEPART |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
S022396 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447410048 | Maricopa County D.b.a. Maricopa County Depart | Clinic/Center | 1645 E. Roosevelt Street, Clinical Services, Phoenix, AZ 85006 | 2008-06-17 |
| Street Address |
1645 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133877 | Cheryl L Leigh | Family Medicine | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2005-06-10 |
| 1649826975 | Brianna Faith Yates | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006 | 2019-08-13 |
| 1447718192 | Jason Peters | Pharmacist | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2019-03-12 |
| 1083133243 | Amanda Scarlett | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2017-09-19 |
| 1407308000 | Jennifer Zazzarino | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2016-10-29 |
| 1013278142 | Sun Wright | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2012-06-05 |
| 1881928760 | Robert W England Jr. | Preventive Medicine | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2009-09-25 |
| 1437367935 | Maricela P Moffitt | Internal Medicine | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2007-05-18 |
| 1396963005 | Ira Yedlin | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487101028 | Marisol Ibarra | Pharmacist | 4802 N 12th St Apt 1086, Phoenix, AZ 85014-4098 | 2016-09-01 |
| 1457719858 | John Randle House | Pharmacist | 3345 E Behrend Dr, Phoenix, AZ 85050-3983 | 2016-02-01 |
| 1790113637 | Patricia Dorothea Hoyt | Pharmacist | 1300 N 12th St # 406, Phoenix, AZ 85006-2848 | 2013-10-30 |
| 1326313982 | Pamela Ann Wolfson | Pharmacist | 4212 E Sunrise Dr, Phoenix, AZ 85044-1012 | 2012-03-15 |
| 1114928314 | Daniel Patrick Boyle | Pharmacist | 650 E Indian School Rd Dept Of, Phoenix, AZ 85012-1839 | 2005-08-10 |
| 1619584620 | Anh Nguyen Truc Huynh | Pharmacist | 3511 W Peoria Ave, Phoenix, AZ 85029-4037 | 2020-09-24 |
| 1376154385 | Doyinsola Adetunji | Pharmacist | 4707 E Shea Blvd, Phoenix, AZ 85028-4215 | 2020-08-13 |
| 1881220432 | Palna Suri Patel | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-03-16 |
| 1780163287 | Delia Saadeh Ziadat | Pharmacist | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2018-08-07 |
| 1285149641 | Farah Haq | Pharmacist | 3975 E Thunderbird Rd, Phoenix, AZ 85032-5711 | 2017-12-07 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MARICOPA COUNTY D.B.A. MARICOPA COUNTY DEPART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.