Healthcare Provider Details

I. General information

NPI: 1366819906
Provider Name (Legal Business Name): STEVEN MEADE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 N DYSART RD
AVONDALE AZ
85392-1204
US

IV. Provider business mailing address

1575 N DYSART RD
AVONDALE AZ
85392-1204
US

V. Phone/Fax

Practice location:
  • Phone: 623-925-0851
  • Fax: 623-925-0867
Mailing address:
  • Phone: 623-925-0851
  • Fax: 623-925-0867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS021950
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: