LISA GUNDERSON (NPI# 1639479207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639479207 |
| Entity Type | Individual |
| Full Name | LISA GUNDERSON |
| Credential | PHARMD |
| Practice Address |
5035 W Baseline Rd Laveen AZ 85339-7310 |
| Practice Telephone | 6025677566 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S016978 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558379909 | Lisa Gunderson | Nurse Practitioner | 2005 Midway Rd, Menasha, WI 54952-7002 | 2006-08-03 |
| Street Address |
5035 W BASELINE RD |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486349 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 5035 W Baseline Rd, Laveen, AZ 85339-7310 | 2008-08-08 |
| 1467917781 | Akos Live | Internal Medicine | 5035 W Baseline Rd, Laveen, AZ 85339-7310 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| 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 |
|---|---|---|---|---|
| 1003275058 | Salmah Monsour | Pharmacist | 7504 S 45th Dr, Laveen, AZ 85339-6202 | 2016-02-18 |
| 1952623118 | John H Markus | Pharmacist | 5406 W Magdalena Ln, Laveen, AZ 85339-2878 | 2010-02-15 |
| 1801121884 | Manoj G Menghani | Pharmacist | 5233 W St Kateri Dr, Laveen, AZ 85339-6933 | 2009-10-09 |
| 1881836773 | Muhannad Dalbik | Pharmacist | 9743 W Pecos Rd, Laveen, AZ 85339-9000 | 2009-03-24 |
| 1073668851 | Michael John Lewis | Pharmacist | 9975 W Beltline Rd, Laveen, AZ 85339 | 2007-01-24 |
| 1417000969 | Larry D Croll | Pharmacist | 51st Ave and Beltline Rd, Gila Crossing Health Center Pharmacy Pob 380, Laveen, AZ 85339-0380 | 2007-01-19 |
| 1356401772 | Daniel Robert Osborn | Pharmacist | 6413 S 72nd Ave, Laveen, AZ 85339-5042 | 2006-12-08 |
| 1427571926 | Brandon Merrill Ladd | Pharmacist | 17487 S Healthcare Dr, Laveen, AZ 85339-8500 | 2017-07-18 |
| 1245780444 | Anu Tazi | Pharmacist | 5050 W Baseline Rd, Laveen, AZ 85339-7324 | 2016-10-11 |
| 1275916025 | Minal Patel | Pharmacist | 5140 W Baseline Rd, Laveen, AZ 85339-2971 | 2015-06-29 |
| Find all providers in LAVEEN | ||||
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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.