JONATHAN WICKES (NPI# 1194206342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194206342 |
| Entity Type | Individual |
| Full Name | JONATHAN WICKES |
| Credential | PHARMD |
| Practice Address |
1212 S Greenfield Rd Mesa AZ 85206-2792 |
| Practice Telephone | 4806548920 |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2018-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S023486 | AZ | Pharmacy Service Providers |
| Street Address |
1212 S GREENFIELD RD |
| City | MESA |
| State | AZ |
| Zip Code | 85206-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982709721 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2006-09-14 |
| 1659928745 | David Anthony Mager | Pharmacist | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2019-08-22 |
| 1730660986 | Taylor Allen | Pharmacist | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2018-08-26 |
| 1144740093 | Jill Lynn Patterson | Nurse Practitioner | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2017-06-21 |
| 1386097335 | Amanda Elizabeth Wennersten | Registered Nurse | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2016-07-14 |
| 1992164503 | Alexandria Eichhorn | Nurse Practitioner | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2016-02-11 |
| 1801268511 | Fariborz Ghafoori | Pharmacist | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2015-10-21 |
| 1437556438 | Michael Weese | Pharmacist | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2014-11-19 |
| 1447656913 | Zhanna Tarjeft | Nurse Practitioner | 1212 S Greenfield Rd, #5026, Mesa, AZ 85206-2792 | 2014-11-11 |
| 1538571708 | Douglas Lusko | Pharmacist | 1212 S Greenfield Rd, Mesa, AZ 85206-2792 | 2014-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992838 | Leila Cameron | Pharmacist | 1742 W Belfast St, Mesa, AZ 85201-6138 | 2020-11-05 |
| 1598247652 | Tyler Barton | Pharmacist | 240 W Baseline Rd # 3799, Mesa, AZ 85210-6107 | 2018-09-05 |
| 1720565393 | Andrew T Rayer | Pharmacist | 525 W Brown Rd Fl 7, Mesa, AZ 85201-3202 | 2018-07-25 |
| 1396264289 | Mercedes Maltbie | Pharmacist | 1915 South Power Road, Mesa, AZ 85206 | 2017-09-12 |
| 1558887430 | Lugina Bianca Mendez-harper | Pharmacist | 10707 E Deawalter Ave, Mesa, AZ 85212-8068 | 2017-08-22 |
| 1548645823 | Michelle Nguyen | Pharmacist | 3718 E Huber St, Mesa, AZ 85205-3901 | 2015-07-28 |
| 1366842239 | Hillary Lynn Coahran | Pharmacist | 2809 S. Sossaman Rd., Mesa, AZ 85212 | 2014-08-28 |
| 1386044493 | Liane Fossen | Pharmacist | 7026 E Roland St, Mesa, AZ 85207-1280 | 2014-08-26 |
| 1366859498 | Devan Hansen | Pharmacist | 1130 W Southern Ave, Mesa, AZ 85210-4993 | 2014-07-21 |
| 1386058154 | Robert G Hayes | Pharmacist | 5001 E Main St Lot 880, Mesa, AZ 85205-1320 | 2014-06-19 |
| Find all providers in MESA | ||||
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| 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.