Stacy Padilla, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S021500 Issued in AZ

Practice address

2727 E Broadway Rd
Mesa, AZ 85204-1530

Phone

(480) 464-4742

Fax

(480) 644-0964

NPI assigned

Aug 19, 2015

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1184666703
  NPD (past)
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1871969261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041530",
            "telephone_number": "480-464-4742",
            "fax_number": "480-644-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041530",
            "telephone_number": "480-464-4742",
            "fax_number": "480-644-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair J Packard II, PT
• Kendal Packer
• Nina Padilla-Hurst
• Brionna Padilla
• Nayely Padilla, MSW
• Alexander Padron Alonso
• Yudaimy Padron Pena
• Yaneiris Padron
• Jenny Pagan
• Malia Pagan, LMT

• All providers in Mesa, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.