JENNIFER STICCA (NPI# 1467865592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467865592 |
| Entity Type | Individual |
| Full Name | JENNIFER STICCA |
| Other Name | JENNIFER LANGMEYER |
| Credential | PHARMD |
| Practice Address |
9172 W Union Hills Dr Peoria AZ 85382-8177 |
| Mailing Address |
10119 W Sugar Sand Ln Peoria AZ 85383-2669 |
| Practice Telephone | 6235720054 |
| Practice Fax Number | 6235729506 |
| Mailing Telephone | 6232034944 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26023614A | IN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 64937 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | S019580 | AZ | Pharmacy Service Providers |
| Street Address |
9172 W UNION HILLS DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114961489 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2006-06-16 |
| 1437704210 | Andrew Jubala | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2019-08-07 |
| 1326517434 | Abidah Ottley | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2018-11-19 |
| 1528585965 | Melanie Gessner | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2017-08-25 |
| 1780124602 | Harold Shapiro | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2017-02-24 |
| 1790152965 | Lorraine Arnold | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2015-08-24 |
| 1770982159 | Kinjal Shah | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2014-08-21 |
| 1720406978 | Cvs Pharmacy | Pharmacy | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2014-04-04 |
| 1437577996 | Cvs | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2014-04-02 |
| 1174678973 | Melissa Burdick | Pharmacist | 9172 W Union Hills Dr, Peoria, AZ 85382-8177 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| 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 |
|---|---|---|---|---|
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1699375683 | Christopher Wayne Sharp | Pharmacist | 8062 W Eva St, Peoria, AZ 85345-7197 | 2020-10-28 |
| 1760093413 | Andrea Stump | Pharmacist | 24865 N Lake Pleasant Pkwy, Peoria, AZ 85383-1280 | 2020-08-14 |
| 1154957926 | Bhumit Kalavadiya | Pharmacist | 8375 W Pontiac Dr, Peoria, AZ 85382-1412 | 2020-03-12 |
| 1386290518 | Taylor Naberhaus | Pharmacist | 13640 N Plaza Del Rio Blvd # 210, Peoria, AZ 85381-4846 | 2019-08-13 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| 1245638782 | Adam Browning | Pharmacist | 12456 W Milton Dr, Peoria, AZ 85383-5009 | 2014-12-16 |
| 1447664784 | Rusvel Villamarin Santacruz | Pharmacist | 9313 W Ross Ave, Peoria, AZ 85382-5237 | 2014-06-15 |
| 1811300684 | Edward Monroe | Pharmacist | 316 W Ridgemont Rd, Peoria, IL 61614-7222 | 2014-06-09 |
| Find all providers in PEORIA | ||||
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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.