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Active NPI 1891524740 Individual Practitioner Male Practitioner

Vidal Mateo Mendoza

Pharmacist • Polacca, AZ

Professional Overview & Biography Verified Profile Summary

Vidal Mendoza is a registered healthcare professional specializing in Pharmacist in Polacca, AZ. Practice services are available at HIGHWAY 264 MILE POST 388 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Highway 264 Mile Post 388

Polacca, AZ 86042

Telephone 9287376000
Associated Practice Facility / Clinic
🏢 Dhhs Ihs Phoenix Area Facility NPI 1356628028

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Polacca, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Polacca, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID 2961463

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carynn Sakeva

Technician

NPI 1003293051
NPI 1013055672

Doctor of Medicine (M.D.)

Lisa Duncan

Internal Medicine

NPI 1033793229
Rochelle Snyder , RN

Registered Nurse

NPI 1043504210

Registered Nurse

Zina Shadfar

Registered Nurse - Medical-Surgical

NPI 1053034017
Veronica Turner , APRN

Nurse Practitioner - Family

NPI 1053639393

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 30, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2024

Registered at HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042 (Tel: 9287376000)

📍
Updated Business Mailing Address July 30, 2024

Registered at PO BOX 1081, KEAMS CANYON, AZ 860341081 (Tel: 2108034703)

👤
Provider Name / Credentials Updated July 30, 2024

Recorded as VIDAL MENDOZA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2024

Pharmacist (License #2961463 in ID)

🟢
Initial NPI Registration & Enumeration July 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891524740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2024
Last Update: July 30, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 1081

Keams Canyon, AZ 860341081

Phone: 2108034703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.