SHIMELIS T AREDA (NPI# 1700361912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700361912 |
| Entity Type | Individual |
| Full Name | SHIMELIS T AREDA |
| Practice Address |
500 Indiana Ave Winslow AZ 86047-2169 |
| Practice Telephone | 9282896215 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
0202216994 | VA | Pharmacy Service Providers |
| Street Address |
500 INDIANA AVE |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912534 | Christian Jay Thompson | Optometrist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2005-06-21 |
| 1548886955 | Lily Chen | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-22 |
| 1528682929 | Jaeseong Park | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-01 |
| 1548881469 | Chadd Joseph Hiatt | Nurse Practitioner | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-05-01 |
| 1205465390 | Lindsay Dara Hughes | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-04-02 |
| 1588290514 | Matthew Lee | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-21 |
| 1669008082 | Deepa Patel | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-17 |
| 1104487222 | Alex Stanco | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-28 |
| 1881254423 | Kerry Lynn Cordier | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-17 |
| 1174182760 | Jorge Phillip Kinds | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309282 | Glecille Ann Salonga | Pharmacist | 10200 N 92nd St Ste 140, Scottsdale, AZ 85258-4535 | 2020-09-02 |
| 1598379034 | Robert Knight | Pharmacist | 2202 N Forbes Blvd Ste 252, Tucson, AZ 85745-1412 | 2020-09-02 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1215595681 | Lydia Ann Muller | Pharmacist | 202 N Cactus Dr Lot 41, Prescott, AZ 86303-3311 | 2019-05-31 |
| 1346769833 | Echo Fallon | Pharmacist | 5091 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-09-15 |
| 1538684782 | Christine Gail Siefker | Pharmacist | 3801 Santa Rosa Dr Ste D, Kingman, AZ 86401-2311 | 2017-08-09 |
| 1710423025 | Tolefac Akem Tabang | Pharmacist | 1/2 Mile S of Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2017-01-10 |
| 1164974440 | Jennifer Anne Hoiles | Pharmacist | 14257 N Lava Falls Trl, Marana, AZ 85658-4436 | 2016-11-02 |
| 1679936793 | Navela Bhuiyan | Pharmacist | 9240 E Redfield Rd Apt 243, Scottsdale, AZ 85260-3708 | 2016-04-05 |
| 1215392097 | Charity Benson | Pharmacist | Nr4 2 Miles East of Pinon, Pinon, AZ 86510 | 2015-12-22 |
| Find all providers with the same taxonomy | ||||
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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.