Dianna Marie Faidley, R.PH., CDM

Primary specialty

PharmacistTaxonomy code 183500000X

License

8594 Issued in AZ

Practice address

815 E. Juan Sanchez Blvd.
San Luis, AZ 85349

Phone

(928) 373-5757

Fax

(928) 373-5757

NPI assigned

May 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689883530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E. JUAN SANCHEZ BLVD.",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-344-4113",
            "fax_number": "928-373-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E. JUAN SANCHEZ BLVD.",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-373-5757",
            "fax_number": "928-373-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIDLEY",
        "first_name": "DIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.PH., CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "8594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DME of Yuma LLC
• Mohamed H. El-Gasim, MD
• Richard Nasiru Elelu
• Gabriela Endres
• Ana Gabriela Enriquez Hernandez, BCBA
• Edith Felix, SLP
• Rosie Figueroa, NURSE LPN
• Veronica Erika Flores
• Focused Imaging of Arizona Inc
• FSP Health Ministries

• All providers in San Luis, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.