Active NPI
Lisa Marie Gomez
- Pharmacist
- Mesa, AZ
National Provider Identifier
1467891457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019659
- Practice address
- 2737 E McKellips Rd
Mesa, AZ 85213-3016 - Phone
- (480) 835-0970
- NPI assigned
- Jun 23, 2013
- Last updated
- Jun 23, 2013
- Sex
- Female
- Sole proprietor
- No
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 | S019659 | AZ | Primary |
Addresses
Primary practice location
2737 E McKellips Rd
Mesa, AZ 85213-3016
Mailing address
32288 N Margaret Way
San Tan Valley, AZ 85142-6705
Phone (602) 769-1304
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S019659 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371945600000",
"number": "1467891457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32288 N MARGARET WAY",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851426705",
"telephone_number": "602-769-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 E MCKELLIPS RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852133016",
"telephone_number": "480-835-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-23",
"last_updated": "2013-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.