DEBRALIZ EAY DEDIOS (NPI# 1972156099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972156099 |
| Entity Type | Individual |
| Full Name | DEBRALIZ EAY DEDIOS |
| Other Name | DEBRALIZ ECLARINO ECLEVIA |
| Credential | PHARMD |
| Practice Address |
595 E Parks Hwy Wasilla AK 99654-8150 |
| Mailing Address |
7545 Foxridge Way Apt 418 Anchorage AK 99518-3708 |
| Practice Telephone | 9073521160 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 146510 | AK | Pharmacy Service Providers |
| Street Address |
595 E PARKS HWY |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366744450 | Aislinn Mcbeth | Pharmacist | 595 E Parks Hwy, Suite 300, Wasilla, AK 99654-8102 | 2010-11-23 |
| 1184271660 | Madelyn Ralston | Pharmacy | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2019-08-20 |
| 1285295220 | Chad Gubler | Pharmacist | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2019-06-20 |
| 1427612217 | Brandy Hudgins | Pharmacist | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2019-04-26 |
| 1962065136 | Hannah Keith | Pharmacist | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2019-04-15 |
| 1831678077 | Emily Mccarville | Pharmacist | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2018-08-08 |
| 1467869016 | Eric William Peck | Pharmacist | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1174803738 | Piper Jessica Marsh | Pharmacist | 1721 E George Parks Hwy, Wasilla, AK 99654 | 2011-08-26 |
| 1083993315 | Michael Enos Kawesa | Pharmacist | 1721 E George Parks Highway, Wasilla, AK 99654 | 2011-08-04 |
| 1073891503 | Stephen Charles Tarbell II | Pharmacist | 1721 E. George Parks Hwy., Wasilla, AK 99654-0000 | 2011-08-02 |
| 1023305091 | Amber L Ewart | Pharmacist | 1800 E Parks Hwy, Wasilla, AK 99654-7353 | 2011-06-29 |
| 1366744450 | Aislinn Mcbeth | Pharmacist | 595 E Parks Hwy, Suite 300, Wasilla, AK 99654-8102 | 2010-11-23 |
| 1891096517 | Leonard Bolog | Pharmacist | 595 E Parks Hwy # 300, Wasilla, AK 99654-8102 | 2010-11-11 |
| 1366743007 | Janet Lynn Schwartz | Pharmacist | 595 E Parks Highway #300, Carrs Pharmacy, Wasilla, AK 99687 | 2010-11-11 |
| 1598089799 | Renee Ann Stoll | Pharmacist | 950 E Bogard Rd Ste 229, Wasilla, AK 99654-7185 | 2010-03-17 |
| 1457572422 | Melissa B Anderson | Pharmacist | 3163 N. Arctic Fox Drive, Wasilla, AK 99654 | 2007-05-01 |
| 1104432715 | Saniye Nur Zen Stevens | Pharmacist | 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 | 2020-09-18 |
| Find all providers in WASILLA | ||||
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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.