DR. NICOLE LANE (NPI# 1235498965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235498965 |
| Entity Type | Individual |
| Full Name | DR. NICOLE LANE |
| Credential | PHARM D |
| Practice Address |
4570 E Cactus Rd Phoenix AZ 85032-7702 |
| Practice Telephone | 4803087053 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018887 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318844 | Nicole Lane | Occupational Therapist | 6225 Kevesta Ave, Palmetto, FL 34221-2577 | 2019-04-20 |
| 1063745453 | Nicole Lane | Registered Nurse | 1616 Ne 16th Way, Apt 308, Gresham, OR 97030-4272 | 2009-09-16 |
| 1124271424 | Nicole Lane | Licensed Practical Nurse | 86 Dare Ave, Bridgeton, NJ 08302-2277 | 2008-10-30 |
| 1851907216 | Nicole Lane | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-09-21 |
| 1477024313 | Nicole Lane | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-12-17 |
| 1114468527 | Nicole R Lane | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2017-03-17 |
| 1942744222 | Nicole Lane | Nurse Practitioner | 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 | 2016-12-06 |
| 1639530405 | Nicole Lane | Social Worker | 2280 Benton Dr., Bldg C, Ste B, Redding, CA 96003 | 2016-03-08 |
| 1023456282 | Nicole Marie Lane | Dentist | 12311 Nacogdoches Rd, Suite 206, San Antonio, TX 78217-2138 | 2013-06-10 |
| 1992848048 | Nicole Lane | Specialist/Technologist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2007-02-15 |
| Street Address |
4570 E CACTUS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629200456 | Costco Wholesale Corporation | Pharmacy | 4570 E Cactus Rd, Phoenix, AZ 85032 | 2009-08-12 |
| 1275000168 | Nimo Ahmed Yousuf | Optometrist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2018-10-29 |
| 1639688328 | Jarred Perkins | Optometrist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2017-09-25 |
| 1730561093 | Amy Vinu Bhojwani | Optometrist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-06-23 |
| 1366835993 | Costco Wholesale Corporation | Hearing Aid Equipment | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-03-06 |
| 1578955753 | Jennifer Larson | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-02-25 |
| 1386034437 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-01-28 |
| 1720489388 | John Radosevich | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2014-09-12 |
| 1831435312 | Lori Drea | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2013-01-02 |
| 1336470053 | Vincent Lee | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| 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 |
| Find all providers in PHOENIX | ||||
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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.