DR. JONATHAN KEENE FAVRE


Address: 5760 N Barrasca Ave, Tucson, AZ 85750-1330
Phone: 5205292714

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
12253 AZ Pharmacy Service Providers

Office Location

Street Address 5760 N BARRASCA AVE
City TUCSON
State AZ
Zip Code 85750-1330

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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City TUCSON
Zip Code 85750

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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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