VIDAL MATEO MENDOZA III
NPI 1891524740
Pharmacist in Polacca, AZ

Active since July 30, 2024
HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042(928) 737-6000 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidal Mateo Mendoza Iii NPPES

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

VIDAL MATEO MENDOZA III (NPI 1891524740) is an individual pharmacist in Polacca, Arizona, licensed in Idaho (2961463) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1891524740
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameVIDAL MATEO MENDOZA III
Location AddressHIGHWAY 264 MILE POST 388Polacca, AZ 86042
Mailing AddressPo Box 1081Keams Canyon, AZ 86034-1081 · (210) 803-4703
Sole ProprietorYes
Enumeration DateJuly 30, 2024
NPPES CertifiedJanuary 20, 2021
NPI 1891524740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · 2961463
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.
HIGHWAY 264 MILE POST 388, Polacca, AZ 86042

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Registered Nurse (Medical-Surgical)
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Pharmacist
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Pharmacist
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Pharmacist
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Pharmacist
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Registered Nurse
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Technician, Other
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidal Mendoza's NPI number?

The NPI number for Vidal Mendoza is 1891524740. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Vidal Mendoza located?

Vidal Mendoza practices at Highway 264 Mile Post 388, Polacca, AZ 86042. The listed phone number is (928) 737-6000.

What is Vidal Mendoza's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Vidal Mendoza was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.