DR. CAROLINE JOAN LIDDICOAT


Address: 3511 W Peoria Ave, Phoenix, AZ 85029-4037
Phone: 6028665453

DR. CAROLINE JOAN LIDDICOAT (NPI# 1720313661) 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) 1720313661
Entity Type Individual
Full Name DR. CAROLINE JOAN LIDDICOAT
Credential PHARMD
Practice Address 3511 W Peoria Ave
Phoenix
AZ 85029-4037
Mailing Address 7830 W Mcrae Way
Glendale
AZ 85308-5923
Practice Telephone 6028665453
Mailing Telephone 6025498490
Enumeration Date 2009-10-09
Last Update Date 2009-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist S016821 AZ Pharmacy Service Providers

Office Location

Street Address 3511 W PEORIA AVE
City PHOENIX
State AZ
Zip Code 85029-4037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689616229 Smiths Food & Drug Centers Inc Pharmacy 3511 W Peoria Ave, Phoenix, AZ 85029-4037 2006-06-11
1619584620 Anh Nguyen Truc Huynh Pharmacist 3511 W Peoria Ave, Phoenix, AZ 85029-4037 2020-09-24
1871896191 Paul Richard Farsjo Pharmacist 3511 W Peoria Ave, Phoenix, AZ 85029-4037 2010-12-08
1821308198 Robert Joseph Waugh Jr. Pharmacist 3511 W Peoria Ave, Phoenix, AZ 85029 2010-10-20
1922317502 Thomas John Price Jr. Pharmacist 3511 W Peoria Ave, Phoenix, AZ 85029-4037 2010-09-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477153799 Haydee Bermudez Counselor 3301 North 33rd Ave., Phoenix, AZ 85029 2020-10-27
1871191221 Covenant Home Health LLC In Home Supportive Care 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 2020-10-16
1508406745 Tailored 2 U Psychiatry, Pllc Nurse Practitioner 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 2020-01-15
1770125403 Desert Gem Assisted Living Facility, LLC Custodial Care Facility 3236 W. Eugie Avenue, Phoenix, AZ 85029 2019-10-15
1588128623 Anna Debbs Counselor 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 2019-01-23
1609360007 Melissa Lynn Denton Specialist/Technologist 4014 W Paradise Dr, Phoenix, AZ 85029 2018-06-19
1275038713 Jamilah Amirah Behavioral Analyst 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 2018-03-27
1639687056 Empower Home Care, LLC. Home Health 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 2018-01-19
1467975698 Samantha June Collett Nurse Practitioner 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 2017-07-19
1073966347 Meka Joi Green Social Worker 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 2016-07-21
Find all providers in zip 85029

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386243848 Stephen Praissman Pharmacist 3101 E Claremont Ave, Phoenix, AZ 85016-2361 2020-10-25
1356949929 Teresa Louise Cox Pharmacist 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 2020-10-15
1760097703 Cindy Ryanto Pharmacist 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 2020-09-15
1689288037 Akeel Daher Pharmacist 28635 N N Vly Pkwy, Phoenix, AZ 85085-5434 2020-09-03
1295346401 Ann Michelle Mason Pharmacist 1511 E Renee Dr, Phoenix, AZ 85024-2973 2020-08-11
1053921767 Vera Benson Pharmacist 1219 E Villa Maria Dr, Phoenix, AZ 85022-1222 2020-08-06
1154947133 Justin Gerard Spicer Pharmacist 1 E Lexington Ave, Phoenix, AZ 85012-2433 2020-06-24
1518582501 Davita D Lewis Pharmacist 2532 W Peoria Ave, Phoenix, AZ 85029-4709 2020-06-15
1518582683 Thomas Komlos Pharmacist 18224 N Clemmer Ln, Phoenix, AZ 85022-1306 2020-06-14
1063037554 Chezka Mae Largosa Baker Pharmacist 800 N Central Ave Apt 1218, Phoenix, AZ 85004-2777 2020-06-10
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Competitor

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City PHOENIX
Zip Code 85029

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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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