ALEXIS GAGGINI (NPI# 1952767394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952767394 |
| Entity Type | Individual |
| Full Name | ALEXIS GAGGINI |
| Practice Address |
1739 E Beverly Ave Ste 107 Kingman AZ 86409-3593 |
| Mailing Address |
3269 N Stockton Hill Rd Kingman AZ 86409-3619 |
| Practice Telephone | 9286818738 |
| Mailing Telephone | 3286818738 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
S022273 | AZ | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
2010031678 | MO | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RP445567 | PA | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH.03335159-3 | OH | Pharmacy Service Providers |
| Street Address |
1739 E BEVERLY AVE STE 107 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680686 | Lorne Franklin Taylor | Obstetrics & Gynecology | 1739 E Beverly Ave, Ste 201, Kingman, AZ 86401-3593 | 2005-06-24 |
| 1083078349 | Lisa Marie Land | Nurse Practitioner | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 | 2016-04-12 |
| 1871979658 | Jennie Lynn Dugo | Nurse Practitioner | 1739 E Beverly Ave, Suite #118, Kingman, AZ 86409-3593 | 2015-08-04 |
| 1508245333 | Sarah Lybrand | Physician Assistant | 1739 E Beverly Ave, Suite 102, Kingman, AZ 86409-3593 | 2015-05-26 |
| 1215315718 | Christopher Ryan Walsh | Nurse Practitioner | 1739 E Beverly Ave, Kingman, AZ 86409-3593 | 2015-05-15 |
| 1699052357 | Craig Stephen Kantack | Physician Assistant | 1739 E Beverly Ave, Suite #101, Kingman, AZ 86409-3593 | 2011-11-09 |
| 1205116423 | Linda Phan Williams | Pharmacist | 1739 E Beverly Ave, Ste 107, Kingman, AZ 86409-3593 | 2011-08-18 |
| 1487807848 | Annika Jeanette Bergeson | Nurse Practitioner | 1739 E Beverly Ave, Suite 106, Kingman, AZ 86409-3593 | 2008-10-29 |
| 1003076712 | J. Khan, LLC | Internal Medicine | 1739 E Beverly Ave, Suite 221, Kingman, AZ 86409-3593 | 2008-06-16 |
| 1891991642 | Keiko Sato Fakhraie | Family Medicine | 1739 E Beverly Ave, Suite 201, Kingman, AZ 86409-3593 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538684782 | Christine Gail Siefker | Pharmacist | 3801 Santa Rosa Dr Ste D, Kingman, AZ 86401-2311 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309282 | Glecille Ann Salonga | Pharmacist | 10200 N 92nd St Ste 140, Scottsdale, AZ 85258-4535 | 2020-09-02 |
| 1598379034 | Robert Knight | Pharmacist | 2202 N Forbes Blvd Ste 252, Tucson, AZ 85745-1412 | 2020-09-02 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1215595681 | Lydia Ann Muller | Pharmacist | 202 N Cactus Dr Lot 41, Prescott, AZ 86303-3311 | 2019-05-31 |
| 1346769833 | Echo Fallon | Pharmacist | 5091 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-09-15 |
| 1710423025 | Tolefac Akem Tabang | Pharmacist | 1/2 Mile S of Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2017-01-10 |
| 1164974440 | Jennifer Anne Hoiles | Pharmacist | 14257 N Lava Falls Trl, Marana, AZ 85658-4436 | 2016-11-02 |
| 1679936793 | Navela Bhuiyan | Pharmacist | 9240 E Redfield Rd Apt 243, Scottsdale, AZ 85260-3708 | 2016-04-05 |
| 1215392097 | Charity Benson | Pharmacist | Nr4 2 Miles East of Pinon, Pinon, AZ 86510 | 2015-12-22 |
| 1164892279 | Hakeem George-michael Hartman | Pharmacist | 1647 E Azalea Dr, Gilbert, AZ 85298-3228 | 2015-10-01 |
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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.