DR. KELLEY SANZEN


Address: 17 Virginia Ave, Suite 107, Providence, RI 02905-4406
Phone: 4017844912

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 17 VIRGINIA AVE
SUITE 107
City PROVIDENCE
State RI
Zip Code 02905-4406

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PROVIDENCE
Zip Code 02905

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Dataset Information

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.

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