Individual Healthcare Provider
Justin Russell Dorotheo, PHARMD
Provider's NPPES record last updated: May 15, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1275990640
- Primary Specialty
- Pharmacist
- Practice Location
- Winslow, Arizona
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 5:11 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pharmacist
Pharmacy Service Providers
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.
Taxonomy code 183500000X
Provider-Reported License Information
- Pharmacist (Arizona)
- S024359
- Pharmacist (Florida)
- PS55417
- Pharmacist (Florida)
- PSI29655
Practice Locations
Practice Location
Winslow Indian Healthcare Center (Pharmacy Dept.)
500 Indiana Ave
Winslow, Arizona 86047-7403
Phone: (928) 289-6215
Additional Practice Location
Flagstaff Medical Center (Pharmacy Dept)
1200 N. Beaver St
Flagstaff, Arizona 86001
Phone: (928) 779-3366
Additional Practice Location
Rehabilitation Hospital of Northern Arizona (Pharmacy)
1851 N Gemini Rd
Flagstaff, Arizona 86001
Phone: (928) 774-7070
Additional Practice Location
Elk Ridge Community Health (Pharmacy Dept)
2920 N 4th Street
Flagstaff, Arizona 86004
Phone: (928) 522-9403
Fax: (928) 522-9701
Additional Practice Location
Little Colorado Medical Center (Pharmacy Dept)
1501 N Williamson Ave
Winslow, Arizona 86047
Phone: (928) 289-4691
Record Information
- Enumeration Date
- January 15, 2016
- Provider's NPPES Record Last Updated
- May 15, 2026
- Certification Date
- May 15, 2026
- NPISignal NPPES Dataset
- August 2026
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