DR. KEVIN MICHAEL DICKS (NPI# 1558661637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558661637 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL DICKS |
| Credential | PHARM. D. |
| Practice Address |
6811 E Superstition Springs Blvd Mesa AZ 85209-4001 |
| Practice Telephone | 4806414050 |
| Mailing Telephone | 4806414050 |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S010872 | AZ | Pharmacy Service Providers |
| Street Address |
6811 E SUPERSTITION SPRINGS BLVD |
| City | MESA |
| State | AZ |
| Zip Code | 85209-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606057 | Cigna Health Care of Arizona Inc | Pharmacy | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2005-08-16 |
| 1861888315 | Yasir Rudha | Internal Medicine | 6811 E Superstition Springs Blvd, Mesa, AZ 85209 | 2015-04-11 |
| 1023420189 | Bassam Hattab | Internal Medicine | 6811 E Superstition Springs Blvd, Mesa, AZ 85209 | 2014-05-23 |
| 1467894287 | Laura Edwards | Nurse Practitioner | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2013-07-22 |
| 1881960243 | Melinda Elizabeth Leighton | Registered Nurse | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2012-03-29 |
| 1063726792 | Charles Bennett Stauffer | Internal Medicine | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2010-08-05 |
| 1417188657 | Tracy Thao Thach Lin | Pharmacist | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2009-08-05 |
| 1972759660 | Mallory Jo Farah | Pharmacist | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2008-08-13 |
| 1548447717 | Arpita Surkunte | Internal Medicine | 6811 E Superstition Springs Blvd, Mesa, AZ 85209 | 2008-01-30 |
| 1225109879 | Cigna Health Care of Arizona Inc. | Clinic/Center | 6811 E Superstition Springs Blvd, Mesa, AZ 85209-4001 | 2006-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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.