DR. MATTHEW RUHMANN SLATER (NPI# 1205357779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205357779 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RUHMANN SLATER |
| Credential | PHARMD |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Mailing Address |
741 Delta Dr Apt 102 Lake Havasu City AZ 86406-6406 |
| Practice Telephone | 9286693330 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
S020278 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902058019 | Matthew James Slater | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2008-10-21 |
| 1447883806 | Matthew G Slater | Behavior Technician | 11044 Washington Blvd Unit A, Whittier, CA 90606-3006 | 2020-02-13 |
| 1487662912 | Matthew Simon Slater | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-08-03 |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942465208 | Nathan L Kanous II | Pharmacist | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425000 | David M Hoehn | Pharmacist | 3413 W Donatello Dr, Phoenix, AZ 85086-2290 | 2020-07-24 |
| 1558901793 | Crystal Kaurin | Pharmacist | 21503 N 71st Dr, Glendale, AZ 85308-9546 | 2020-01-15 |
| 1912416975 | Jenna Pakala | Pharmacist | 6250 E Grant Rd Apt 388, Tucson, AZ 85712-5811 | 2017-09-21 |
| 1972998771 | Jordan Cottam | Pharmacist | 1515 W Aloe Vera Dr, Phoenix, AZ 85085-9032 | 2015-03-30 |
| 1528470606 | Govindarajulu Krishnaswamy | Pharmacist | 1845 E. Baseline Road, Gilbert, AZ 85234 | 2014-05-23 |
| 1821422395 | Donna Marie Faber | Pharmacist | 650 E Indian School Rd # 119, Phoenix, AZ 85012-1839 | 2013-09-02 |
| 1629416938 | Larry D Sanders | Pharmacist | 3076 Tom Tom Dr, Lake Havasu City, AZ 86406-8630 | 2013-06-08 |
| 1356681936 | Marilyn Ritchey | Pharmacist | 3100 S Walkup Dr, Flagstaff, AZ 86005-8978 | 2013-02-19 |
| 1922346808 | Lindsay Sampson | Pharmacist | 1 Mile North On Navajo Rt 16, Inscription House Health Center, Shonto, AZ 86054-7397 | 2013-01-28 |
| 1710223979 | Long Thien Pham | Pharmacist | Hwy 191 Hospital Turnoff, Chinle, AZ 86503 | 2012-12-17 |
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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.