Healthcare Provider Details

I. General information

NPI: 1013242221
Provider Name (Legal Business Name): AFSANEH MELATPARAST RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 N 90TH ST
SCOTTSDALE AZ
85258-4406
US

IV. Provider business mailing address

10450 N 90TH ST
SCOTTSDALE AZ
85258-4406
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-0283
  • Fax: 480-661-3076
Mailing address:
  • Phone: 480-661-0238
  • Fax: 480-391-3076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS010821
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: