MICHAEL RUDDY (NPI# 1467952762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467952762 |
| Entity Type | Individual |
| Full Name | MICHAEL RUDDY |
| Credential | PHARMACIST |
| Practice Address |
Hwy 160 1/2 Mile South of Mile Post 394.3 Kayenta AZ 86033 |
| Mailing Address |
Po Box 368 Kayenta AZ 86033-0368 |
| Practice Telephone | 9286974165 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI01892200 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831138015 | Michael C Ruddy | Specialist | 88 Princeton Hightstown Rd, Suite 203, Princeton Junction, NJ 08550-1100 | 2006-06-05 |
| 1063401990 | Michael J Ruddy | Orthopaedic Surgery | 1960 Ne 47th St Ste 102, Ft Lauderdale, FL 33308 | 2005-10-13 |
| Street Address |
HWY 160 1/2 MILE SOUTH OF MILE POST 394.3 |
| City | KAYENTA |
| State | AZ |
| Zip Code | 86033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048306 | Pauletta A Butterfly | Social Worker | Hwy. 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-20 |
| 1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
| 1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
| 1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
| 1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
| 1265915615 | Marissa Brooke Wall | Optometrist | 394.3 Us-160, Kayenta, AZ 86033 | 2018-09-12 |
| 1922516319 | Xavier Kelton Nelson | Spec/Tech, Pathology | Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2018-01-19 |
| 1487160073 | Matthew Rosa | Spec/Tech, Pathology | Us Hwy 160 S Mp 364.3, Kayenta, AZ 86033 | 2017-12-19 |
| Find all providers in zip 86033 | ||||
| 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 |
|---|---|---|---|---|
| 1437683893 | Zachary Marshall Morin | Pharmacist | 394 Highway 160, Kayenta, AZ 86033-0368 | 2017-04-12 |
| 1790159937 | Vuong Pham | Pharmacist | Hwy 160 Mp394.3, Mile Post 394.3, Kayenta, AZ 86033 | 2015-11-28 |
| 1679947501 | Alan Itzen | Pharmacist | Ka-2010 Hwy-163, Kayenta, AZ 86033-0368 | 2015-11-16 |
| 1811375165 | Bakow Enaw | Pharmacist | Hwy-163 Building Ka, Kayenta, AZ 86033 | 2015-05-07 |
| 1104204452 | Steven Metz | Pharmacist | Hwy-163 Bldg Ka-4010, Kayenta, AZ 86033-0368 | 2015-05-07 |
| 1588088702 | Nuri Tawwab | Pharmacist | Highway 163 Building Ka2010, Kayenta, AZ 86033 | 2014-02-07 |
| 1871826123 | Miles Soichi Morimoto | Pharmacist | Highway 163, Bldg Ka-2010, Kayenta, AZ 86033-2397 | 2009-09-17 |
| 1336354273 | Vinh Phu Pham | Pharmacist | Highway 163 Ka 2010, Kayenta, AZ 86033 | 2007-05-14 |
| 1770796179 | Phillip Eric Gonzalez | Pharmacist | Hwy 163 Kayenta 2010, Kayenta, AZ 86033 | 2007-05-08 |
| 1366565038 | Steven Labrozzi | Pharmacist | Hwy 163, Bldg Ka-2010, Kayenta, AZ 86033 | 2007-04-09 |
| Find all providers in KAYENTA | ||||
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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.