Address: 920 W Waltann Ln, Phoenix, AZ 85023-4465

MATTHEW JOSEPH WIERSMA (NPI# 1770178493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770178493
Entity Type Individual
Gender Male
Credential PHARM.D.
Practice Address 920 W Waltann Ln
AZ 85023-4465
Practice Telephone 6027100568
Mailing Address 920 W Waltann Ln
AZ 85023-4465
Mailing Telephone 6027100568
Certification Date 2021-03-04
Enumeration Date 2021-03-04
Last Update Date 2021-03-04
Is Sole Proprietor Y


Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 183500000X Pharmacist S024209 AZ Pharmacy Service Providers

Office Location

Street Address 920 W WALTANN LN
State AZ
Zip Code 85023-4465

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1770170417 Coletech LLC Nurse Practitioner · Family 328 W Kenton Ln., Phoenix, AZ 85023 2020-12-29
1891265468 Dildora Turakulova Home Health 2238 West Faria Ln, Phoenix, AZ 85023 2018-11-27
1811475502 Nicholas J Campbell Pharmacist 18420 N 19th Ave, Phoenix, AZ 85023 2018-08-03
1043700032 Bell Treatment Center Clinic/Center · Methadone 1614 W Bell Rd, Phoenix, AZ 85023 2018-05-15
1366931354 Thomas R Goodine Student in an Organized Health Care Education/Training Program 18444 N 25th Ave, Ste 310, Phoenix, AZ 85023 2018-05-04
1407343510 Joseph Duke Physician Assistant · Medical 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 2018-04-16
1518475755 Ami Marie Podlesnik · Ami Marie Peters Occupational Therapy Assistant 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 2018-01-22
1629580436 Jesse Anderson Orthopaedic Surgery 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 2017-11-02
1821515222 In Touch Health & Wellness LLC Chiropractor 2306 W Greenway Rd, Phoenix, AZ 85023 2017-08-25
1225589021 Grayson Halladay Physician Assistant 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023 2016-10-18
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053906669 Shamini Oza 8826 N 23rd Ave, Phoenix, AZ 85021-4154 2021-03-05
1114511235 David Harris 9436 S 47th Pl, Phoenix, AZ 85044-7507 2021-03-01
1801480256 Somaya Hegazy 7815 S 31st Pl, Phoenix, AZ 85042-7121 2021-02-25
1790378131 Gloria Katherine Rapp 15450 N Tatum Blvd, Phoenix, AZ 85032 2021-02-17
1467044776 Anthony Allen Branham 2206 E Clarendon Ave, Phoenix, AZ 85016-6517 2021-02-08
1629660360 Tiffany Gutierrez 28635 N North Valley Pkwy, Phoenix, AZ 85085-5434 2021-02-04
1659962348 Julia Marie Lewis · Julia Freberg 1850 W Dunlap Ave, Phoenix, AZ 85021-2943 2021-01-27
1861082935 Francis Xavier Douris 5555 N 7th St, Phoenix, AZ 85014-2584 2021-01-22
1376133686 Joshua J Walden 1300 N 12th St Ste 406, Phoenix, AZ 85006-2848 2021-01-20
1457941841 Reylene Sanchez 3442 W Van Buren St, Phoenix, AZ 85009-4708 2021-01-20
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Search similar providers

Zip Code 85023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.