MR. HAISSAM NAYEF SHIBLAK (NPI# 1306986542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306986542 |
| Entity Type | Individual |
| Full Name | MR. HAISSAM NAYEF SHIBLAK |
| Credential | RPH |
| Practice Address |
18495 E Queen Creek Rd Queen Creek AZ 85242-3597 |
| Mailing Address |
1633 E Zion Way Chandler AZ 85249-2862 |
| Practice Telephone | 4802790521 |
| Practice Fax Number | 4802795425 |
| Mailing Telephone | 4802790521 |
| Mailing Fax Number | 4802795425 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15345 | AZ | Pharmacy Service Providers |
| Street Address |
18495 E QUEEN CREEK RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255377024 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 18495 E Queen Creek Rd, Queen Creek, AZ 85142-3597 | 2006-06-21 |
| 1306253869 | Matthew Blake Aronson | Pharmacist | 18495 E Queen Creek Rd, Queen Creek, AZ 85142-3597 | 2014-07-16 |
| 1386055564 | Elise Wheeler | Pharmacist | 18495 E Queen Creek Rd, Queen Creek, AZ 85142-3597 | 2014-05-09 |
| 1447550090 | Jennie Danielson | Pharmacist | 18495 E Queen Creek Rd, Queen Creek, AZ 85142-3597 | 2010-10-29 |
| 1457682429 | Rebecca Lynne Bainter | Pharmacist | 18495 E Queen Creek Rd, Queen Creek, AZ 85142-3597 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| 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 |
|---|---|---|---|---|
| 1700324563 | Rojelio Yepez Jr. | Pharmacist | 20260 E Sonoqui Blvd, Queen Creek, AZ 85142-6291 | 2017-02-01 |
| 1639598196 | Bonita Whayuen Shin Rathi | Pharmacist | 21201 E Ocotillo Road, Queen Creek, AZ 85142 | 2014-04-14 |
| 1427477942 | Ma.cecilia Paat | Pharmacist | 21210 E Ocotillo Rd, Queen Creek, AZ 85142 | 2014-04-11 |
| 1962845339 | Annette E Nganje | Pharmacist | 18726 E Ryan Rd, Queen Creek, AZ 85142-8693 | 2013-04-16 |
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1104345412 | Henry Patrick Cosgriff | Pharmacist | 21398 S Ellsworth Loop Rd, Queen Creek, AZ 85142-5379 | 2017-09-18 |
| 1750827655 | Caren E Voepel | Pharmacist | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 | 2017-01-16 |
| 1922450865 | Meghan Knife | Pharmacist | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 | 2016-07-03 |
| 1003292772 | Lisa Valle | Pharmacist | 21201 E Ocotillo Road, Queen Creek, AZ 85142 | 2015-08-05 |
| 1972903276 | Christopher Andrus | Pharmacist | 7587 S Power Rd, Queen Creek, AZ 85142-6323 | 2014-08-25 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on MR. HAISSAM NAYEF SHIBLAK.
| 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.