REBECCA DODGE (NPI# 1245884014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245884014 |
Entity Type | Individual |
Full Name | REBECCA DODGE |
Credential | PHARMD |
Practice Address |
4611 E Shea Blvd Ste 180 Phoenix AZ 85028-4258 |
Mailing Address |
13714 W Sarano Ter Litchfield Park AZ 85340-4241 |
Practice Telephone | 6127202684 |
Mailing Telephone | 6127202684 |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-07-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811547698 | Rebecca Ruth Dodge | Technician | 13586 Delaware Rd, Apple Valley, CA 92308-6178 | 2019-09-13 |
1205167160 | Rebecca M Dodge | Psychologist | 3939 Ne Hancock St # 316, Portland, OR 97212-5321 | 2010-01-15 |
1033326699 | Rebecca Ann Dodge | Psychologist | 86 South Steward Street, Suite 201, Sonora, CA 95370-4771 | 2007-05-16 |
Street Address |
4611 E SHEA BLVD STE 180 |
City | PHOENIX |
State | AZ |
Zip Code | 85028-4258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
Find all providers in zip 85028 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
1437702156 | Roman Health Pharmacy, LLC | Pharmacy | 2331 W Royal Palm Rd Ste A, Phoenix, AZ 85021-4940 | 2019-07-22 |
1487115812 | Ascriberx America, LLC | Pharmacy | 8826 N 23rd Ave Ste C-5, Phoenix, AZ 85021-4154 | 2019-03-28 |
1346720349 | Medavail Pharmacy Inc. | Pharmacy | 2196 E Camelback Rd Ste 200, Phoenix, AZ 85016-4751 | 2018-08-19 |
1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
1619478047 | Coram Alternate Site Services, Inc. | Pharmacy | 4601 E Hilton Ave Ste 105, Phoenix, AZ 85034-6406 | 2018-02-21 |
1740796093 | Azbdbr, LLC | Pharmacy | 816 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-12-22 |
1700301793 | Kamo Danielian | Pharmacy | 2432 E Tracy Ln Unit 1, Phoenix, AZ 85032-3647 | 2017-08-10 |
Find all providers in PHOENIX |
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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.