Fernando Lara Hernandez, PharmD
Pharmacist in Mesa, AZ. Individual provider (NPI-1).
NPI number1356802136
StatusActive
Last updated in NPPESMar 26, 2019
Details
- NPI
- 1356802136
- Entity type
- Individual (NPI-1)
- Name
- Fernando Lara Hernandez
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2019
- Last updated
- Mar 26, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S023721 | AZ | Yes |
Practice location
1305 S Greenfield RdMesa, AZ 85206-3303
Phone 480-830-9266
Mailing address
12605 W Paradise DrEl Mirage, AZ 85335-7326
Phone 623-418-4782
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 389 Pharmacist providers in Mesa · All 13,507 providers in Mesa
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