DR. CORINA KAY GRANCORVITZ (NPI# 1285881052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285881052 |
| Entity Type | Individual |
| Full Name | DR. CORINA KAY GRANCORVITZ |
| Credential | PHARMD |
| Practice Address |
1840 S Stapley Dr Suite 101 Mesa AZ 85204-6681 |
| Mailing Address |
1840 S Stapley Dr. Suite 101 Mesa AZ 85204 |
| Practice Telephone | 4804646838 |
| Practice Fax Number | 4804646872 |
| Mailing Telephone | 4804646838 |
| Mailing Fax Number | 4804646872 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11621 | AZ | Pharmacy Service Providers |
| Street Address |
1840 S STAPLEY DR SUITE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909076 | Cigna Health Care of Arizona Inc | Pharmacy | 1840 S Stapley Dr, Ste 101, Mesa, AZ 85204-6681 | 2005-08-16 |
| 1467924704 | Kari Vosika | Registered Nurse | 1840 S Stapley Dr, Mesa, AZ 85204-6681 | 2018-12-27 |
| 1881860021 | Patricia Kao-hutt | Audiologist | 1840 S Stapley Dr, #101, Mesa, AZ 85204-6681 | 2008-05-07 |
| 1528139953 | Cigna Health Care of Arizona Inc | Clinic/Center | 1840 S Stapley Dr, Suite 101, Mesa, AZ 85204-5015 | 2006-11-09 |
| 1124131248 | Maureen Lee | Obstetrics & Gynecology | 1840 S Stapley Dr, Suite 131, Mesa, AZ 85204-6681 | 2006-08-15 |
| 1831151562 | Jean M Moon | Obstetrics & Gynecology | 1840 S Stapley Dr, Suite 131, Mesa, AZ 85204-6681 | 2006-04-06 |
| 1720050727 | Cory Anderson | Family Medicine | 1840 S Stapley Dr, Mesa, AZ 85204-6681 | 2006-02-03 |
| 1699755827 | Lakshmi Naidu | Pediatrics | 1840 S Stapley Dr, Mesa, AZ 85204-5015 | 2006-01-23 |
| 1366412504 | John A Kuss | Family Medicine | 1840 S Stapley Dr, Mesa, AZ 85204-6681 | 2006-01-23 |
| 1619957339 | Sudha Kamineni | Internal Medicine | 1840 S Stapley Dr, 101, Mesa, AZ 85204-6681 | 2006-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
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| 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 |
| 1154801389 | Phillip Aaron Weddle | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1797 | 2018-08-16 |
| 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 |
| 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.