Active NPI
Liliana B Stewart, PHARMD
- Pharmacist
- Mesa, AZ
National Provider Identifier
1174819338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017227
- Practice address
- 950 E Main St
Mesa, AZ 85203-8820 - Phone
- (602) 655-6205
- Fax
- (602) 655-9625
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S017227 | AZ | Primary |
Addresses
Primary practice location
950 E Main St
Mesa, AZ 85203-8820
Mailing address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Other names 1
- Liliana Boardman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S017227 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1174819338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852038820",
"telephone_number": "602-655-6205",
"fax_number": "602-655-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LILIANA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILIANA",
"last_name": "BOARDMAN",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.