SOURETH RAYIS (NPI# 1972051852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972051852 |
Entity Type | Individual |
Full Name | SOURETH RAYIS |
Practice Address |
2415 E Union Hills Dr Phoenix AZ 85050-3146 |
Practice Telephone | 6028670561 |
Mailing Telephone | 6028670561 |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 022145 | AZ | Pharmacy Service Providers |
Street Address |
2415 E UNION HILLS DR |
City | PHOENIX |
State | AZ |
Zip Code | 85050-3146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255346599 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2006-07-29 |
1114572302 | William Thien-long Nguyen | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2019-08-05 |
1417462268 | Melissa Weddel | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2017-12-01 |
1639697170 | Sabrina H Simrin | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2017-09-05 |
1306247887 | Amy Ngo | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2014-09-15 |
1679972764 | Julie Nguyen | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2014-08-14 |
1073896239 | Chad Wahlgren | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2011-09-23 |
1356622849 | Gregory Braylock | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2011-08-29 |
1770898231 | Mark Pearson | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2010-08-09 |
1619281516 | William Combs | Pharmacist | 2415 E Union Hills Dr, Phoenix, AZ 85050-3146 | 2010-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
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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 |
---|---|---|---|---|
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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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.