UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY (NPI# 1063419299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063419299 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY |
| Practice Address |
1703 E Mabel St Tucson AZ 85721-0001 |
| Mailing Address |
Po Box 210207 Tucson AZ 85721-0207 |
| Practice Telephone | 5206261657 |
| Practice Fax Number | 5206264063 |
| Mailing Telephone | 5206261657 |
| Mailing Fax Number | 5206264063 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. J. LYLE BOOTMAN (DEAN) |
| Authorized Official Telephone | 5206261657 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
1700 | AZ | Pharmacy Service Providers |
| Street Address |
1703 E MABEL ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85721-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621393 | J. Lyle Bootman | Pharmacist | 1703 E Mabel St, Tucson, AZ 85721-0001 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598701 | Patti Norris | Counselor | 1224 E. Lowell St. Bldg. 95, Tucson, AZ 85721 | 2018-11-27 |
| 1275976706 | Elle Ross | Internal Medicine | 5265 E. Knight Drive, Tucson, AZ 85721 | 2013-04-15 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1053509679 | University of Arizona | Audiologist | 1131 E. 2nd Street, Tucson, AZ 85721 | 2007-10-09 |
| 1730307083 | Trae Tashiro | Specialist/Technologist | 1 National Championship Drive, Mckale Center N108, Tucson, AZ 85721 | 2007-04-23 |
| 1275661332 | The University of Arizona College of Pharmacy | Pharmacist | 220 W 6th St. Usa B113, Tucson, AZ 85721 | 2007-03-01 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1669520730 | Linda Lundergan | Preventive Medicine | Campus Health University of Arizona, 1224 E. Lowell, Tucson, AZ 85721 | 2007-01-08 |
| 1861590242 | Cynthia Klatte | Social Worker | 1224 E. Lowell Street, Counseling & Psych. Services, Tucson, AZ 85721 | 2006-09-20 |
| 1184696122 | Stella Kidwell | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85721 | 2006-02-03 |
| Find all providers in zip 85721 | ||||
| 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 |
| 1982764353 | Jonathan Keene Favre | Pharmacist | 5760 N Barrasca Ave, Tucson, AZ 85750-1330 | 2006-12-08 |
| 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 |
| 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.