EVAN DAVID SANDERSON (NPI# 1265040505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265040505 |
| Entity Type | Individual |
| Full Name | EVAN DAVID SANDERSON |
| Credential | PHARMD, RPH |
| Practice Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Practice Telephone | 6022775551 |
| Mailing Telephone | 6022775551 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00009302 | NM | Pharmacy Service Providers |
| Street Address |
650 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| 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 |
|---|---|---|---|---|
| 1386243848 | Stephen Praissman | Pharmacist | 3101 E Claremont Ave, Phoenix, AZ 85016-2361 | 2020-10-25 |
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1689288037 | Akeel Daher | Pharmacist | 28635 N N Vly Pkwy, Phoenix, AZ 85085-5434 | 2020-09-03 |
| 1295346401 | Ann Michelle Mason | Pharmacist | 1511 E Renee Dr, Phoenix, AZ 85024-2973 | 2020-08-11 |
| 1053921767 | Vera Benson | Pharmacist | 1219 E Villa Maria Dr, Phoenix, AZ 85022-1222 | 2020-08-06 |
| 1154947133 | Justin Gerard Spicer | Pharmacist | 1 E Lexington Ave, Phoenix, AZ 85012-2433 | 2020-06-24 |
| 1518582501 | Davita D Lewis | Pharmacist | 2532 W Peoria Ave, Phoenix, AZ 85029-4709 | 2020-06-15 |
| 1518582683 | Thomas Komlos | Pharmacist | 18224 N Clemmer Ln, Phoenix, AZ 85022-1306 | 2020-06-14 |
| 1063037554 | Chezka Mae Largosa Baker | Pharmacist | 800 N Central Ave Apt 1218, Phoenix, AZ 85004-2777 | 2020-06-10 |
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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.