Stanislava Manojlovic, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0022889 Issued in CO

Practice address

Corner of Route N12 and N7
Fort Defiance Indian Hospital Board, Inc.
Fort Defiance, AZ 86504-0649

Phone

(928) 729-8328

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1265077267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
            "address_2": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOJLOVIC",
        "first_name": "STANISLAVA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0022889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Fort Defiance Indian Hospital Board, Inc.",
            "city": "Fort Defiance",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "865040649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Madsen, C.N.M.
• Hector Pilar Magana, PHYSICIAN AND SURGEO
• Anthony Daep Magdadaro
• Mark S. Malone, MD
• Jarrod Mann, PHARM. D
• Jeri Manuelito, RN, BSN
• Marek Marcinkiewicz, MD
• Kimberley Marcontell
• Peter Joseph Marinich, CRNA
• Laurence Martin, MD

• Pharmacist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.