STACY ZULUETA (NPI# 1386066819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386066819 |
| Entity Type | Individual |
| Full Name | STACY ZULUETA |
| Practice Address |
500 N Hwy 90 Byp Sierra Vista AZ 85635-2204 |
| Practice Telephone | 5204589690 |
| Practice Fax Number | 5204588729 |
| Mailing Telephone | 5204589690 |
| Mailing Fax Number | 5204588729 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018488 | AZ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZRPH | S018488 | 01 |
| Street Address |
500 N HWY 90 BYP |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265459473 | Walmart Inc. | Pharmacy | 500 N Hwy 90 Byp, Sierra Vista, AZ 85635-2204 | 2006-07-16 |
| 1407490303 | Nicole Woods | Pharmacist | 500 N Hwy 90 Byp, Sierra Vista, AZ 85635-2204 | 2019-11-04 |
| 1649663584 | Thomas Weeks IIi | Pharmacist | 500 N Hwy 90 Byp, Sierra Vista, AZ 85635-2204 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1245774389 | Steven Warren | Pharmacist | 3333 Camino Las Palmeras, Sierra Vista, AZ 85650-8213 | 2016-12-08 |
| 1003363557 | David Andrew Merrell | Pharmacist | 155 Calle Portal Ste 600, Sierra Vista, AZ 85635-2973 | 2016-09-01 |
| 1073936951 | Laura Buckley | Pharmacist | 500 N Highway 90 Byp, Sierra Vista, AZ 85635-2204 | 2014-01-28 |
| 1669804795 | Maureen Elizabeth Grimm | Pharmacist | 4151 Arizona Highway 90, T-0735, Sierra Vista, AZ 85635 | 2013-07-31 |
| 1922378231 | Judith Hippert | Pharmacist | 4351 E Hwy 90, Sierra Vista, AZ 85635-2431 | 2012-01-03 |
| 1114227410 | Anthony Roether | Pharmacist | 1939 Frontage Rd Ste B, Sierra Vista, AZ 85635-4638 | 2010-11-02 |
| 1235451428 | Victor Louis Romero | Pharmacist | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2010-02-16 |
| 1558692053 | Charlotte Arla Pendergast | Pharmacist | 1950 East Fry, Sierra Vista, AZ 85635 | 2010-01-22 |
| 1407490303 | Nicole Woods | Pharmacist | 500 N Hwy 90 Byp, Sierra Vista, AZ 85635-2204 | 2019-11-04 |
| 1982250387 | Melanie Marie Tschida | Pharmacist | 4151 E Highway 90, Sierra Vista, AZ 85635-2425 | 2019-08-13 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on STACY ZULUETA.
| 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.