DR. SANDRA FADOUS (NPI# 1023217155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023217155 |
| Entity Type | Individual |
| Full Name | DR. SANDRA FADOUS |
| Credential | PHARMD |
| Practice Address |
230 Highland Ave Somerville MA 02143-1408 |
| Practice Telephone | 6175914200 |
| Mailing Telephone | 6175914200 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23507 | MA | Pharmacy Service Providers |
| Street Address |
230 HIGHLAND AVE |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481501 | Michael Clarence Payne | Internal Medicine | 230 Highland Ave, Somerville Hospital / The Cambridge Health Alliance, Somerville, MA 02143-1408 | 2005-07-14 |
| 1336615319 | Brusly Guerrier | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-10-17 |
| 1366935975 | Khushbu Patel | Licensed Vocational Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-06-08 |
| 1922509496 | Eri Sugiyama Purdon | Occupational Therapist | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-02-21 |
| 1902305576 | Orlando Leandro Perez-bonilla | Technician | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-02-08 |
| 1720595846 | Daisy Tirado | Licensed Practical Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-01-10 |
| 1134640105 | Claudine Alabre | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2017-06-29 |
| 1750814620 | Julie Ng | Licensed Practical Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2017-04-07 |
| 1619429032 | Giselle Devane | Health Educator | 230 Highland Ave, Somerville, MA 02143-1408 | 2016-11-02 |
| 1033661145 | Debralee Quinn | Registered Nurse | 230 Highland Ave, Somerville Hospital, Somerville, MA 02143-1408 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033413844 | Sarah Morrison | Pharmacist | 201 Lakeview Rd Ste C, Somerville, TN 38068-9742 | 2011-01-08 |
| 1134421191 | Christina Lee | Pharmacist | 1 South Davenport Street, Somerville, NJ 08876 | 2010-11-24 |
| 1164722633 | Elizabeth A Rosser | Pharmacist | 116 Robertson Dr, Somerville, TN 38068-1912 | 2010-10-29 |
| 1518279769 | George W Puccio | Pharmacist | 132 N Gaston Ave, Somerville, NJ 08876-2419 | 2010-07-04 |
| 1871826495 | Ngoc T Nguyen | Pharmacist | 530 Somerville Ave, Somerville, MA 02143-3216 | 2009-09-14 |
| 1679706592 | Rhiannon Michelle Hatton | Pharmacist | 14 Mcgrath Hwy, Somerville, MA 02143-4505 | 2009-08-26 |
| 1578795456 | Emily R Crout | Pharmacist | 16280 Highway 64, Somerville, TN 38068-6152 | 2009-08-11 |
| 1396864286 | Joanne O'leary | Pharmacist | 393 Highland Ave, Somerville, MA 02144-2506 | 2007-03-29 |
| 1780720953 | Ann Robin Soboti | Pharmacist | 166 W Main St, Somerville, NJ 08876-2204 | 2007-01-29 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.