STANLEY KUPATA MWENDAR


Address: 1209 S 1st Ave, Phoenix, AZ 85003-2605
Phone: 6022828006

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1300X Pharmacist
Specialization: Psychiatric
S016062 AZ Pharmacy Service Providers

Office Location

Street Address 1209 S 1ST AVE
City PHOENIX
State AZ
Zip Code 85003-2605

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P1300X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Psychiatric

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City PHOENIX
Zip Code 85003

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Dataset Information

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.

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