DR. MATTHEW BRANDON BRANCAZIO (NPI# 1336352244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336352244 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRANDON BRANCAZIO |
| Credential | PHARMD |
| Practice Address |
3181 Longview Dr Lake Havasu City AZ 86406-9046 |
| Practice Telephone | 9284531974 |
| Mailing Telephone | 9284531974 |
| Enumeration Date | 2007-05-07 |
| 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 | 13389 | AZ | Pharmacy Service Providers |
| Street Address |
3181 LONGVIEW DR |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86406-9046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924070 | James Richard Fisher | Durable Medical Equipment & Medical Supplies | 2540 Viejo Dr, Lake Havasu City, AZ 86406 | 2008-02-27 |
| 1265657969 | Eugene Vitvitsky Md | Surgery | 2046 Burke Lane, Lake Havasu City, AZ 86406 | 2007-04-16 |
| 1659497105 | Assisted Living Concepts Inc | Assisted Living Facility | 3076 Shoshone Drive, Lake Havasu, AZ 86406 | 2007-03-22 |
| 1164546750 | Charles Reese Mead | Dentist | 101 Riveria Dr, Lake Havasu, AZ 86406 | 2007-03-19 |
| 1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
| 1285797993 | Karen Ann Powell | Podiatrist | Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 | 2006-12-18 |
| 1215978606 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2800 Sweetwater Ave, Lake Havasu City, AZ 86406 | 2006-06-09 |
| 1467519512 | Catherine Evelyn Sondrol | Occupational Therapist | 3588 Tarpon Dr, Lake Havasu City, AZ 86406-4223 | 2007-01-01 |
| 1346477593 | Steven Bertovich | Registered Nurse | 3499 Tarpon Dr, Lake Havasu City, AZ 86406-4246 | 2009-06-15 |
| 1093975310 | Serenity Assisted Living | Assisted Living Facility | 3677 Blue Colt Dr, Lake Havasu City, AZ 86406-4273 | 2008-06-10 |
| Find all providers in zip 86406 | ||||
| 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 |
|---|---|---|---|---|
| 1093352254 | Rian William Spear | Pharmacist | 1659 Mcculloch Blvd S, Lake Havasu City, AZ 86406-8800 | 2019-12-06 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1881004760 | Gloria Marie Lamb | Pharmacist | 2350 Clarke Dr, Lake Havasu City, AZ 86403-3771 | 2014-05-01 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1356604870 | Holly Vietor | Pharmacist | 1980 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0969 | 2012-06-19 |
| 1063699981 | Kimberly Ann Coffey | Pharmacist | 75 Lake Havasu Ave N, Lake Havasu City, AZ 86403-5651 | 2008-01-22 |
| 1538377494 | John Kurowsky II | Pharmacist | 1716 Mcculloch Blvd S, Lake Havasu City, AZ 86406-8845 | 2007-05-21 |
| 1144829789 | Eric William Styskal | Pharmacist | 75 Lake Havasu Ave N, Lake Havasu City, AZ 86403-5651 | 2020-10-24 |
| 1659987188 | Duaa Elamin | Pharmacist | 75 Lake Havasu Ave N, Lake Havasu City, AZ 86403-5651 | 2020-09-21 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86406 |
Please comment or provide details below to improve the information on DR. MATTHEW BRANDON BRANCAZIO.
| 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.