DR. KELLEY SANZEN (NPI# 1033521877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033521877 |
Entity Type | Individual |
Full Name | DR. KELLEY SANZEN |
Credential | PHARMD |
Practice Address |
17 Virginia Ave Suite 107 Providence RI 02905-4406 |
Mailing Address |
92 Nottingham Dr West Warwick RI 02893-5563 |
Practice Telephone | 4017844912 |
Mailing Telephone | 4014804758 |
Enumeration Date | 2014-05-28 |
Last Update Date | 2014-05-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | PCT.0010274 | CT | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH04383 | RI | Pharmacy Service Providers |
Street Address |
17 VIRGINIA AVE SUITE 107 |
City | PROVIDENCE |
State | RI |
Zip Code | 02905-4406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972039675 | Marco Delbove | Pharmacist | 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 | 2017-05-02 |
1952785842 | Angel S Pechie | Pharmacist | 17 Virginia Ave, Providence, RI 02905-4406 | 2015-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
Find all providers in zip 02905 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114243086 | Felix Baez | Pharmacist | 35 Messina St, Providence, RI 02908-1613 | 2010-04-15 |
1851926364 | Charles Agwunobi | Pharmacist | 1017 Smith St, Providence, RI 02908-2747 | 2020-03-04 |
1104172758 | Amy Pitt | Pharmacist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-08-01 |
1942576152 | Maylee Chen Satterfield | Pharmacist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-04-02 |
1912213232 | Christina Tat | Pharmacist | 830 Chalkstone Avenue, Providence, RI 02908-4799 | 2010-08-24 |
1649582453 | Ruth Dapaah-afriyie | Pharmacist | 593 Eddy St, Providence, RI 02903-4923 | 2010-07-09 |
1720227283 | Eric Paul Sutherland | Pharmacist | 830 Chalkstone Ave, Va Medical Center, Providence, RI 02908 | 2009-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619103 | Todd Estus | Pharmacist | 71 Paul Ave, Wakefield, RI 02879-1504 | 2020-11-04 |
1255733507 | Lillian Nieves | Pharmacist | 77 Shickasheen Way, West Kingston, RI 02892-1813 | 2014-09-18 |
1730447293 | Celia Macdonnell | Pharmacist | 13 Mccormick Rd, Newport, RI 02840-4313 | 2012-05-02 |
1134403496 | Angelica Rosemary Lupo | Pharmacist | 5 Tartaglia St, Johnston, RI 02919-5929 | 2011-10-05 |
1154928661 | Cassandra Couture | Pharmacist | 1123 Boston Neck Rd, Narragansett, RI 02882-1734 | 2020-10-07 |
1134773310 | Brianna Katherine Kimball | Pharmacist | 1150 New London Ave, Cranston, RI 02920-3036 | 2019-07-26 |
1144887118 | Julie Barber | Pharmacist | 25 Wells St, Westerly, RI 02891-2934 | 2019-05-24 |
1972160257 | Lani Kai Ritter | Pharmacist | 25 Wells St, Westerly, RI 02891-2922 | 2019-05-22 |
1538659289 | Melissa Agonia | Pharmacist | 639 Metacom Ave, Warren, RI 02885 | 2018-05-17 |
1770878696 | Julia E Manning | Pharmacist | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2011-06-20 |
Find all providers with the same taxonomy |
City | PROVIDENCE |
Zip Code | 02905 |
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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.