STANLEY KUPATA MWENDAR (NPI# 1659970325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659970325 |
Entity Type | Individual |
Full Name | STANLEY KUPATA MWENDAR |
Credential | RPH |
Practice Address |
1209 S 1st Ave Phoenix AZ 85003-2605 |
Mailing Address |
5525 E Thomas Rd Unit D3 Phoenix AZ 85018-8158 |
Practice Telephone | 6022828006 |
Mailing Telephone | 4802906632 |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
S016062 | AZ | Pharmacy Service Providers |
Street Address |
1209 S 1ST AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85003-2605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164496444 | David Burleigh Foster | Nurse Practitioner | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2006-02-14 |
1215576202 | Ryan Scott Norton | Social Worker | 1209 S 1st Ave, Phoenix, AZ 85003-2692 | 2019-12-23 |
1982171609 | Valle Del Sol, Inc. | Community/Behavioral Health | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2018-10-31 |
1740717024 | Maria Avena | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2017-05-17 |
1518337401 | Jacqueline Zengler | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2015-10-05 |
1497135388 | Herendira Valdez | Nurse Practitioner | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2015-06-04 |
1982091443 | Juliene Williams | Social Worker | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2015-04-22 |
1972910719 | Genoa Healthcare, LLC | Pharmacy | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2014-07-14 |
1437587201 | Chante Pantila | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2013-10-14 |
1417220575 | Marleigh Corinne O'meara | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2012-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
Find all providers in zip 85003 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922417658 | Tiffany Lee Gordon | Pharmacist | 501 N 24th St, Phoenix, AZ 85008-6056 | 2014-08-06 |
1427304492 | Jessica Emily Hopper | Pharmacist | 529 W Las Palmaritas Dr, Phoenix, AZ 85021-5534 | 2012-07-27 |
1346248945 | Melissa Danielle Lamer | Pharmacist | 4801 E Washington St, Phoenix, AZ 85034-2004 | 2005-07-08 |
1083611479 | Marilyn Rose Semenchuk | Pharmacist | 16625 S 27th Ln, Phoenix, AZ 85045-2207 | 2005-06-30 |
1760091060 | Taylor Riedley | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-23 |
1891316709 | Sarah Marie Allen | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-05-01 |
1629438882 | Taylor Nichols | Pharmacist | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2016-03-02 |
1104202464 | Caitlin Dirvonas | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-08-09 |
1417206319 | Andrea Jeanay Tanzella | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2012-09-06 |
1831320183 | Brianna Elise Moody Englett | Pharmacist | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-05 |
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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.