DR. JONATHAN KEENE FAVRE (NPI# 1982764353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982764353 |
Entity Type | Individual |
Full Name | DR. JONATHAN KEENE FAVRE |
Credential | PHARM.D. |
Practice Address |
5760 N Barrasca Ave Tucson AZ 85750-1330 |
Practice Telephone | 5205292714 |
Practice Fax Number | 5205776701 |
Mailing Telephone | 5205292714 |
Mailing Fax Number | 5205776701 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
12253 | AZ | Pharmacy Service Providers |
Street Address |
5760 N BARRASCA AVE |
City | TUCSON |
State | AZ |
Zip Code | 85750-1330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125490 | Arizona Medical Specialty Group, LLC | Nurse Practitioner | 5590 E River Rd., Suite 101, Tucson, AZ 85750 | 2020-05-07 |
1962858936 | Honu Counseling Pllc | Community/Behavioral Health | 5855 North Kolb Road Unit 4208, Tucson, AZ 85750 | 2016-05-10 |
1750653341 | Patricia Jean Heese | Occupational Therapist | 5410 N Grey Moutain Tr, Tucson, AZ 85750 | 2012-01-30 |
1184911257 | Collaborative Associates In Surgical Assisting | Registered Nurse | 5601 E. Camino Del Celador, Tucson, AZ 85750 | 2011-07-08 |
1841468584 | Shelly Kay Surber | Nurse Practitioner | Minute Clinic, 6895 E Sunrise Dr., Tucson, AZ 85750 | 2008-02-15 |
1982788121 | Laurie Beth Weston | Psychiatry & Neurology | 7921 E Presidio Road, Tucson, AZ 85750 | 2006-10-24 |
1518050624 | David Stuart Thompson | Psychiatry & Neurology | 5661 East Shadow View Ct, Tucson, AZ 85750 | 2006-10-02 |
1043250541 | Cathy Evelyn Wayand | Registered Nurse | 6890 E Sunrise Drive Ste 120 #223, Tucson, AZ 85750 | 2006-06-07 |
1144206806 | John Daniel Mcarthur | Radiology | 5965 N Sabino Shadow Ln, Tucson, AZ 85750 | 2005-12-15 |
1972599181 | Howard Hunter Yost | Psychiatry & Neurology | 5520 N Waterfield Dr, Tucson, AZ 85750 | 2005-09-22 |
Find all providers in zip 85750 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912416975 | Jenna Pakala | Pharmacist | 6250 E Grant Rd Apt 388, Tucson, AZ 85712-5811 | 2017-09-21 |
1518022474 | Jason M Lashbrook | Pharmacist | 5800 E Rio Verde Vista Dr, Tucson, AZ 85750-1973 | 2006-12-22 |
1609976273 | Kenneth Earl Berry | Pharmacist | 3256 W Moondance Way, Tucson, AZ 85741-1249 | 2006-09-24 |
1922112168 | Cedric Guyton | Pharmacist | San Xavier Indian Health Center, 7900 S. J Stock Rd, Tucson, AZ 85746 | 2006-08-17 |
1619905023 | Raymond Thomas Dunn | Pharmacist | 2350 E Miraval Primero, Tucson, AZ 85718-3034 | 2006-06-28 |
1740258326 | Kristina Ranae De Los Santos | Pharmacist | 3601 S 6th Ave # 1-119, Tucson, AZ 85723 | 2006-03-09 |
1811968951 | Jeannie Kim Lee | Pharmacist | 1295 N Martin Ave, Tucson, AZ 85721-0202 | 2006-01-27 |
1871581595 | Kelly Alissa Green Boesen | Pharmacist | 540 E Deone Cir, Tucson, AZ 85704-6922 | 2005-10-06 |
1861490294 | Yvonne Catherine Huckleberry | Pharmacist | 3577 E Nugget Canyon Pl, Tucson, AZ 85718-2213 | 2005-07-10 |
1063419299 | University of Arizona College of Pharmacy | Pharmacist | 1703 E Mabel St, Tucson, AZ 85721-0001 | 2005-07-01 |
Find all providers in TUCSON |
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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.