SHENOUDA A KERIACOUS RPH NPI 1528404738

NPI Information

NPI: 1528404738
Provider Name: SHENOUDA A KERIACOUS, RPH
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
4502 E OAK ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 808-0111
Get Directions

Shenouda A Keriacous, RPH is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Phoenix, AZ. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Shenouda A Keriacous, RPH NPI is 1528404738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4502 E OAK ST
PHOENIX, AZ
ZIP 85008-411
Phone: (602) 808-0111

The enumeration date for this NPI number is 5/14/2013 and was last updated on 1/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		S017054	ARIZONA	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PH60631590	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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