Elise Almagambetova, PHARMD
Individual provider Active NPI Pharmacist · Prescott, AZ
NPI 1831646520 · NPPES record last updated Sep 9, 2016
Key facts
- NPI
- 1831646520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S021217 (AZ)
- Practice address
- 3911 E State Route 69
Prescott, AZ 86301-6717 - Phone
- (928) 541-2218
- Fax
- (928) 541-2257
- NPI assigned
- Sep 9, 2016
- 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 |
|---|---|---|---|
| S021217 | AZ | MD | Pharmacist |
| 033.0097311 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S021217 | AZ | Yes |
| Pharmacist | 183500000X | 058328 | NY | |
| Pharmacist | 183500000X | 033.0097311 | VT |
Addresses
Primary practice location
3911 E State Route 69
Prescott, AZ 86301-6717
Mailing address
3911 E State Route 69
Prescott, AZ 86301-6717
Phone (928) 541-2218
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2016. 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.