Marica Laketic, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S023279 Issued in AZ

Practice address

3003 N 3Rd St
Phoenix, AZ 85012-3031

Phone

(602) 282-9800

NPI assigned

Aug 16, 2018

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1841770104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 E SAHUARO DR APT 2011",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545296",
            "telephone_number": "224-628-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123031",
            "telephone_number": "602-282-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKETIC",
        "first_name": "MARICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lake, LAC
• Melissa Ann Lake, PSY.D.
• Warren James Lake, P.T.
• Briana Danyelle Lakebrink, ATC, ITAT
• Lakeside ABA Az LLC
• Sofia Lakhdar, MD
• Howard Lakritz, M.D.
• Lakshmi DDS PLLC
• Sidney Lakusta-Wong
• Devyani Lal, M.D.

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.