MITAL ABHIJEET MODY
NPI 1174098784
Pharmacist in Phoenix, AZ

Active since October 10, 2018
1843 W FETLOCK TRL, PHOENIX, AZ 85085(623) 252-0892 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mital Abhijeet Mody NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITAL ABHIJEET MODY (NPI 1174098784) is an individual pharmacist in Phoenix, Arizona, licensed in Arizona (S023617) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1174098784
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMITAL ABHIJEET MODY
Location Address1843 W FETLOCK TRLPhoenix, AZ 85085-6359
Mailing Address1843 W Fetlock TrlPhoenix, AZ 85085-6359 · (602) 626-4021
Sole ProprietorNo
Enumeration DateOctober 10, 2018
NPI 1174098784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S023617
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.

1843 W FETLOCK TRL, Phoenix, AZ 85085

Other Identifiers 1

MedicaidS023617AZ

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174098784, enumerated as an "individual" on October 10, 2018.

The provider is located at 1843 W FETLOCK TRL PHOENIX, AZ 85085 and the phone number is (623) 252-0892.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.