DR. KEVIN RIDER (NPI# 1679977169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679977169 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RIDER |
| Credential | PHARMD |
| Practice Address |
14672 N Frank Lloyd Wright Blvd Scottsdale AZ 85260-2043 |
| Practice Telephone | 4806612936 |
| Practice Fax Number | 4806617155 |
| Mailing Telephone | 4806612936 |
| Mailing Fax Number | 4806617155 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018987 | AZ | Pharmacy Service Providers |
| Street Address |
14672 N FRANK LLOYD WRIGHT BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952345209 | Arizona Cvs Stores LLC | Pharmacy | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2006-06-16 |
| 1609408830 | Shelby A Seymour | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2020-02-05 |
| 1952812257 | Lindsey Takamatsu | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260 | 2017-10-13 |
| 1922535475 | Chesley Brook Cranch-kaniut | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2017-05-15 |
| 1750741062 | Heather Jimenez | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260 | 2016-02-29 |
| 1780041541 | Vara Ivezaj | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2016-01-25 |
| 1275919334 | Nikita Stachnik | Pharmacist | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2015-07-30 |
| 1104235563 | Cvs/pharmacy | Pharmacist | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2014-08-10 |
| 1548516438 | Kim Mary Licciardi | Registered Nurse | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2012-07-27 |
| 1679767172 | Amy Robinson | Nurse Practitioner | 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| 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 |
|---|---|---|---|---|
| 1457961468 | Lindsey A Palmer | Pharmacist | 9595 E Sunnyside Dr, Scottsdale, AZ 85260-7115 | 2020-08-04 |
| 1922623941 | Aaron Nicholas Pearse | Pharmacist | 6501 E Greenway Pkwy Bldg 4, Scottsdale, AZ 85254-2025 | 2020-06-15 |
| 1871115402 | Breyonna Adams | Pharmacist | 7111 E Bell Rd # Rs, Scottsdale, AZ 85254-5638 | 2020-05-18 |
| 1568000198 | Lindsey E Urbatchka | Pharmacist | 6016 E Edgemont Ave, Scottsdale, AZ 85257-1049 | 2019-12-13 |
| 1467930115 | Hanh Vinh Nguyen | Pharmacist | 7001 N Scottsdale Rd Ste 1010, Scottsdale, AZ 85253-3664 | 2018-08-04 |
| 1689161994 | Shawn Yavari | Pharmacist | 10769 N Frank Lloyd Wright Blvd Ste A100, Scottsdale, AZ 85259-2670 | 2018-04-23 |
| 1669971354 | Caitlin Elizabeth Osborne | Pharmacist | 6811 E Main St Apt 3026, Scottsdale, AZ 85251-4380 | 2018-02-07 |
| 1093220295 | Asal Rafie Delijani | Pharmacist | 10042 E Evans Dr, Scottsdale, AZ 85260-7577 | 2017-12-11 |
| 1083124259 | Erin Lynn Butler | Pharmacist | 9260 E Raintree Dr Ste 150, Scottsdale, AZ 85260-7310 | 2017-10-02 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on DR. KEVIN RIDER.
| 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.