Fort Defiance Indian Hosp Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

FORT DEFIANCE INDIAN HOSP PHARMACY

Practice address

Intersection of Hwy 12 and Hwy 7
Fort Defiance, AZ 86504

Phone

(928) 729-8328

Fax

(928) 729-8348

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Schweitzer, PHARMD

Title

IHS Pharmacy Consultant

Phone

(602) 364-5277

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FORT DEFIANCE INDIAN HOSP PHARMACY Doing business as

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1669501540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0654",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERSECTION OF HWY 12 AND HWY 7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8328",
            "fax_number": "928-729-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DEFIANCE INDIAN HOSP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHWEITZER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "IHS PHARMACY CONSULTANT",
        "authorized_official_telephone_number": "602-364-5277",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0324424",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT DEFIANCE INDIAN HOSP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Anne Fischer, PT, DPT
• David Allen Fleming, DDS
• Belinda Fomba
• Jamie Noel Fontaine
• Angela H. Fontenot, NP
• Fort Defiance Indian Hospital
• Fort Defiance Indian Hospital Board, Inc
• Fort Defiance Indian Hospital Board, Inc
• Fort Defiance Indian Hospital Board, Inc.
• Fort Defiance Outpatient Treatment Center

• All providers in Fort Defiance, AZ
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.