NICOLE A FLYNN (NPI# 1538503230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538503230 |
| Entity Type | Individual |
| Full Name | NICOLE A FLYNN |
| Credential | PHARMD |
| Practice Address |
240 W Baseline Rd Pharmacy 3799 Mesa AZ 85210-6107 |
| Practice Telephone | 4806689512 |
| Practice Fax Number | 4806689514 |
| Mailing Telephone | 4806689512 |
| Mailing Fax Number | 4806689514 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PR5105 | ME | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | S018922 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031977 | Nicole Michelle Flynn | Social Worker | 1621 114th Ave Se Ste 224, Bellevue, WA 98004-6905 | 2019-06-10 |
| 1285150128 | Nicole Flynn | Social Worker | 1801 Fox Dr., Champaign, IL 61821 | 2017-08-22 |
| 1013373653 | Nicole Flynn | Physical Therapist | 146 Marple Rd, Broomall, PA 19008-2040 | 2016-01-12 |
| 1982079364 | Nicole Flynn | Specialist/Technologist, Other | 812 Avis Dr, Ann Arbor, MI 48108-9649 | 2015-12-10 |
| 1801285663 | Nicole F. Flynn | Nurse Practitioner | 101 Dudley St, Providence, RI 02905-2401 | 2015-01-16 |
| 1952689747 | Nicole E Flynn | Physician Assistant | 1 Clara Maass Dr, Kiddle Hall Suite 204, Belleville, NJ 07109-3550 | 2011-07-27 |
| 1831366962 | Nicole Flynn | Counselor | 20 Cedar St, Worcester, MA 01609-2520 | 2008-05-08 |
| 1285810978 | Nicole Schimke Flynn | Surgery | 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 | 2008-01-13 |
| 1154337533 | Nicole Flynn | Counselor | 3100 Ne 83rd St, Suite 2500, Kansas City, MO 64119-4400 | 2006-07-31 |
| Street Address |
240 W BASELINE RD PHARMACY 3799 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023171139 | Wal-mart Stores, Inc. | Technician/Technologist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2006-12-19 |
| 1467002766 | Tan Nhut Tien | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2019-09-18 |
| 1518447580 | Madison Michelle Fitch | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2018-08-18 |
| 1740654722 | Franz Jungblut | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2015-11-13 |
| 1578933107 | Sabra Clark | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2015-09-24 |
| 1518380906 | Pranjali Malge | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2014-01-21 |
| 1851568083 | Barry S Herndon Od Pllc | Optometrist | 240 W Baseline Rd, Mesa, AZ 85210 | 2008-05-16 |
| 1700941754 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1851992838 | Leila Cameron | Pharmacist | 1742 W Belfast St, Mesa, AZ 85201-6138 | 2020-11-05 |
| 1598247652 | Tyler Barton | Pharmacist | 240 W Baseline Rd # 3799, Mesa, AZ 85210-6107 | 2018-09-05 |
| 1720565393 | Andrew T Rayer | Pharmacist | 525 W Brown Rd Fl 7, Mesa, AZ 85201-3202 | 2018-07-25 |
| 1396264289 | Mercedes Maltbie | Pharmacist | 1915 South Power Road, Mesa, AZ 85206 | 2017-09-12 |
| 1558887430 | Lugina Bianca Mendez-harper | Pharmacist | 10707 E Deawalter Ave, Mesa, AZ 85212-8068 | 2017-08-22 |
| 1548645823 | Michelle Nguyen | Pharmacist | 3718 E Huber St, Mesa, AZ 85205-3901 | 2015-07-28 |
| 1366842239 | Hillary Lynn Coahran | Pharmacist | 2809 S. Sossaman Rd., Mesa, AZ 85212 | 2014-08-28 |
| 1386044493 | Liane Fossen | Pharmacist | 7026 E Roland St, Mesa, AZ 85207-1280 | 2014-08-26 |
| 1366859498 | Devan Hansen | Pharmacist | 1130 W Southern Ave, Mesa, AZ 85210-4993 | 2014-07-21 |
| 1386058154 | Robert G Hayes | Pharmacist | 5001 E Main St Lot 880, Mesa, AZ 85205-1320 | 2014-06-19 |
| Find all providers in MESA | ||||
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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.