MATTHEW GOTFRYD (NPI# 1811543366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811543366 |
| Entity Type | Individual |
| Full Name | MATTHEW GOTFRYD |
| Credential | PHARMD |
| Practice Address |
1300 N 12th St Ste 605 Phoenix AZ 85006-2850 |
| Practice Telephone | 3034528661 |
| Mailing Telephone | 7089127642 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PHA.0022803 | CO | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
S024583 | AZ | Pharmacy Service Providers |
| Street Address |
1300 N 12TH ST STE 605 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831310275 | Soumya Lakshmi Pandalai | Internal Medicine | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2007-05-02 |
| 1124646450 | Kelsey Leite | Pharmacist | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-07-13 |
| 1144849035 | Serenity G Sweet | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-11 |
| 1093334112 | Megan Cathleen Kelly | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-09 |
| 1083243422 | Antontrey Begaye | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-07 |
| 1760011514 | Ali Etman | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-03 |
| 1336778448 | Kaylee De Tranaltes | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1588293609 | Kimberly Torrez | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1629607718 | Cayman Martin | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1326500687 | Heather Merchut | Family Medicine | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1801142609 | Stephanie E Knecht | Pharmacist | 650 E Indian School Rd # Rx, Phoenix, AZ 85012-1839 | 2012-07-30 |
| 1124646450 | Kelsey Leite | Pharmacist | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-07-13 |
| 1528694841 | Gavin Christopher Chiles | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-03-18 |
| 1659901544 | Joseph Maloy | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-01-20 |
| 1548817539 | Sumaira Kanwal | Pharmacist | 6202 S 16th St, Phoenix, AZ 85042-4434 | 2019-08-23 |
| 1821640350 | Aya Shoura | Pharmacist | 1300 N 12th St Ste 508, Phoenix, AZ 85006-2849 | 2019-07-15 |
| 1679042485 | Cesar Figueroa | Pharmacist | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2018-11-21 |
| 1407335524 | Donald James Boles | Pharmacist | 20622 N Cave Creek Rd Ste C-121, 20622 N Cave Creek Rd Ste C-121, Phoenix, AZ 85024 | 2018-08-09 |
| 1700398310 | Yuliya K Ilyushenko | Pharmacist | 20622 N Cave Creek Rd Ste C-121, Phoenix, AZ 85024 | 2017-11-04 |
| 1164934386 | Diana Ann Kung | Pharmacist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2017-10-27 |
| Find all providers in PHOENIX | ||||
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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.