DR. TERRA NICKOLE LUNDGREN (NPI# 1508490657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508490657 |
| Entity Type | Individual |
| Full Name | DR. TERRA NICKOLE LUNDGREN |
| Credential | PHARMD |
| Practice Address |
2435 N Castro Ave Tucson AZ 85705-5060 |
| Mailing Address |
8425 E Kent Pl Tucson AZ 85710-4220 |
| Practice Telephone | 5209170768 |
| Mailing Telephone | 5202050399 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S024243 | AZ | Pharmacy Service Providers |
| Street Address |
2435 N CASTRO AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701043 | Kathleen A Andrea | Nurse Practitioner | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2006-02-23 |
| 1801434006 | Tammy Deloris Porter | Marriage & Family Therapist | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2019-12-18 |
| 1609373026 | Robin Lorraine Acereto | Counselor | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2018-04-11 |
| 1548704497 | Roxanne Lynn Prillwitz | Counselor | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2016-12-12 |
| 1326471871 | Phyllis Marie Siebern | Counselor | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2013-08-19 |
| 1871834010 | Larae Monteese Barnes | Nurse Practitioner | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2013-03-13 |
| 1285970814 | Jennifer J Spencer | Counselor | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2012-12-31 |
| 1265783765 | Cope Community Services | Community/Behavioral Health | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2012-09-24 |
| 1104185131 | Genoa Healthcare, LLC | Pharmacy | 2435 N Castro Ave, Tucson, AZ 85705-5060 | 2012-05-11 |
| 1174895569 | Cope Community Services, Inc. | Psychiatry & Neurology | 2435 N Castro Ave, Tucson, AZ 85705 | 2012-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| 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 |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1538775903 | Jasim Mohammad El-ali | Pharmacist | 652 W Camino Del Oro, Tucson, AZ 85704-4720 | 2020-09-21 |
| 1184241242 | Karley Tranchina | Pharmacist | 3220 W Ina Rd Apt 18106, Tucson, AZ 85741-2172 | 2020-07-06 |
| 1386268522 | Melinda Aragon | Pharmacist | 6030 N Desert Sun Ct, Tucson, AZ 85750-0925 | 2020-06-03 |
| 1265070650 | Megan Kristine Spragg | Pharmacist | 2101 N Jacana Loop, Tucson, AZ 85745-3571 | 2019-12-16 |
| 1487206603 | Briana Choi | Pharmacist | 5755 E River Rd Apt 1710, Tucson, AZ 85750-6712 | 2019-07-09 |
| 1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
| 1417437575 | Steven Daniel Menachof | Pharmacist | 3601 S 6th Ave Bldg 57, Tucson, AZ 85723-0001 | 2018-08-17 |
| 1255828273 | Kimberly Grace Stone | Pharmacist | 6906 E Lightning Dr Unit A, Tucson, AZ 85708-1385 | 2018-04-16 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| Find all providers in TUCSON | ||||
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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.