Stephanie G Amado, PHARMD
Individual provider Active NPI Pharmacist · Goodyear, AZ
NPI 1346003803 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1346003803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S026845 (AZ)
- Practice address
- 14460 W Monterey Way
Goodyear, AZ 85395-8304 - Phone
- (520) 301-1305
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S026845 | AZ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S026845 | AZ | Yes |
Addresses
Primary practice location
14460 W Monterey Way
Goodyear, AZ 85395-8304
Mailing address
14460 W Monterey Way
Goodyear, AZ 85395-8304
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.