DR. PHILLIP AARON WEDDLE (NPI# 1154801389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154801389 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP AARON WEDDLE |
| Credential | PHARMD |
| Practice Address |
6644 E Baywood Ave Mesa AZ 85206-1797 |
| Mailing Address |
4418 E Granada Rd Phoenix AZ 85008-4120 |
| Practice Telephone | 4803212482 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
S019860 | AZ | Pharmacy Service Providers |
| Street Address |
6644 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060233 | Ashley M Reed | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2005-08-12 |
| 1215546882 | Kylee A Read | Occupational Therapist | 6644 E Baywood Ave, Mesa, AZ 85206 | 2020-07-29 |
| 1629696638 | Barbara Izabela Rutkowski | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-07-07 |
| 1518580844 | Aisha Bales | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-21 |
| 1366064156 | Michael Martin Moreau | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-14 |
| 1316568454 | Bhagyashree Barlingay M D P C | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-04-29 |
| 1255967394 | Garet Joshua Powell | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-03-20 |
| 1912547597 | Derek Ryan Allen | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-01-10 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| 1891250759 | Alison Renae Arpaia | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358603 | Humaira Ameer | Pharmacist | 8435 E Baseline Rd Ste 101, Mesa, AZ 85209-4382 | 2013-02-19 |
| 1366056616 | Yan Yan Chan | Pharmacist | 2727 E Broadway Rd, Mesa, AZ 85204-1592 | 2020-09-03 |
| 1285114330 | Erin Rzeczkowski | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2018-08-17 |
| 1700366911 | Mark Rothstein | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2018-08-16 |
| 1003395658 | Kristen Kientz | Pharmacist | 4620 E Baseline Rd, Mesa, AZ 85206-4624 | 2018-08-13 |
| 1104329788 | Trent Larson | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-03-09 |
| 1093040297 | Kirk Shawgo Wilcox | Pharmacist | 2727 E Broadway Rd, Mesa, AZ 85204-1530 | 2009-10-06 |
| 1285881052 | Corina Kay Grancorvitz | Pharmacist | 1840 S Stapley Dr, Suite 101, Mesa, AZ 85204-6681 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169563 | Nosayawe Edokpayi | Pharmacist | Indian Health Service/ Hopi Health Care Center, Highway 264 Mile Post 388, Polacca, AZ 86042-4000 | 2020-09-23 |
| 1922639905 | Lana Druzhinin Bohon | Pharmacist | 5249 E Shea Blvd Unit 208, Scottsdale, AZ 85254-5739 | 2020-01-29 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1629557855 | Jeffrey Gubernick | Pharmacist | 7305 E Visao Dr, Scottsdale, AZ 85266-2707 | 2018-08-08 |
| 1730638214 | Tai Long Huynh | Pharmacist | 9950 W Via Del Sol, Peoria, AZ 85383-3323 | 2016-09-26 |
| 1487101028 | Marisol Ibarra | Pharmacist | 4802 N 12th St Apt 1086, Phoenix, AZ 85014-4098 | 2016-09-01 |
| 1679935332 | Tammy B Bird | Pharmacist | 617 W Havasupai Rd, Flagstaff, AZ 86001-1513 | 2016-03-22 |
| 1457719858 | John Randle House | Pharmacist | 3345 E Behrend Dr, Phoenix, AZ 85050-3983 | 2016-02-01 |
| 1306202791 | Michael Edward Roman | Pharmacist | 1240 N 40th Dr, Show Low, AZ 85901-3236 | 2016-01-14 |
| 1043688591 | Anna Montuori | Pharmacist | 14450 N Thompson Peak Pkwy Unit 120, Scottsdale, AZ 85260-7770 | 2015-09-14 |
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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.