Individual provider Active NPI

Lugina Bianca Mendez-Harper, PHARMD

  • Pharmacist
  • Mesa, AZ
National Provider Identifier
1558887430
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP5746 Issued in NM
Practice address
10707 E Deawalter Ave
Mesa, AZ 85212-8068
Phone
(505) 206-1089
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S013935 AZ
Pharmacist 183500000X PD11545 AR
Pharmacist 183500000X PST019669 LA
Pharmacist 183500000X T12010 MS
Pharmacist 183500000X RP13755 NE
Pharmacist 183500000X 35665 TN
Pharmacist 183500000X 15883 KY
Pharmacist 183500000X 24825 MD
Pharmacist 183500000X P7493 ID
Pharmacist 183500000X RP8629 WV
Pharmacist 183500000X 5302045380 MI
Pharmacist 183500000X RPH12913 OR
Pharmacist 183500000X R17509 OK
Pharmacist 183500000X RP5746 NM Primary

Addresses

Primary practice location

10707 E Deawalter Ave
Mesa, AZ 85212-8068

Mailing address

10707 E Deawalter Ave
Mesa, AZ 85212-8068
Phone (505) 206-1089

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

LicenseStateTypeSpecialty
24825MDMDSocial Worker
PD11545ARMDPharmacist
S013935AZMDPharmacist
P7493IDMDPharmacist
15883KYMDPharmacist
PST019669LAMDPharmacist
5302045380MIMDPharmacist
T12010MSMDPharmacist
RP13755NEMDPharmacist
RP5746NMMDPharmacist
R17509OKMDPharmacist
RPH12913ORMDPharmacist
35665TNMDPharmacist
RP8629WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1558887430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 E DEAWALTER AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128068",
            "telephone_number": "505-206-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 E DEAWALTER AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128068",
            "telephone_number": "505-206-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-HARPER",
        "first_name": "LUGINA",
        "middle_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S013935",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11545",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST019669",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T12010",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "RP13755",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "35665",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "15883",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "24825",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7493",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP8629",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302045380",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH12913",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "R17509",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP5746",
            "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 Aug 22, 2017; 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.