Matthew James Fanizza, PHARMD
NPI 1407144504ActiveIndividual· Pharmacist· Laveen, AZ
Pharmacist (PHARMD) in Laveen, Arizona, licensed in AZ, ID, CO and WA, with an NPI issued in July 2011.
Overview
| NPI | 1407144504 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | No |
| NPI issued | Jul 11, 2011 |
| Last updated in NPPES | Sep 4, 2026 |
| Certified by provider | Sep 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | S016691 | AZ |
| Pharmacist | 183500000X | 8792 | ID |
| Pharmacist | 183500000X | PHA.0019752 | CO |
| Pharmacist | 183500000X | PH60883540 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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