DR. JENNY ALLEN VAN AMBURGH


Address: Neponset Health Center, 398 Neponset Ave, Dorchester, MA 02122
Phone: 6172823200

DR. JENNY ALLEN VAN AMBURGH (NPI# 1073500245) 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) 1073500245
Entity Type Individual
Full Name DR. JENNY ALLEN VAN AMBURGH
Credential BPHARM, PHARMD, CDE
Practice Address Neponset Health Center
398 Neponset Ave
Dorchester
MA 02122
Mailing Address 398 Neponset Ave
Dorchester
MA 02122-3134
Practice Telephone 6172823200
Practice Fax Number 6172821582
Mailing Telephone 6172823200
Mailing Fax Number 6172821582
Enumeration Date 2005-10-04
Last Update Date 2007-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist 046903-1 NY Pharmacy Service Providers
Y 183500000X Pharmacist 25350 MA Pharmacy Service Providers

Office Location

Street Address NEPONSET HEALTH CENTER
398 NEPONSET AVE
City DORCHESTER
State MA
Zip Code 02122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033720875 Joey Mark Nguyen Pharmacist 747 Gallivan Blvd, Dorchester, MA 02122 2020-08-14
1518575240 Hamilton Pharmacy LLC Pharmacy 246 Bowdoin St, Dorchester, MA 02122 2020-07-20
1336789528 Katheline Leconte Social Worker 230 Bowdoin Street, Dorchester, MA 02122 2020-01-15
1700374725 Renee Ahern Registered Nurse 398 Neponset Ave., Dorchester, MA 02122 2018-04-25
1861902371 Bridget Mary Walsh Specialist/Technologist 519 Ashmont St, Dorchester, MA 02122 2017-10-10
1649798133 Roosevelt Lewis IIi Registered Nurse 1486 Dorchester Ave Ste 206, Boston, MA 02122 2017-09-05
1811427404 Hanh Nguyen Counselor 50 Redfield St, Suite 300, Dorchester, MA 02122 2017-06-15
1669902474 Thuy T Nguyen Counselor 415 Neponset Avenue, Dorchester, MA 02122 2017-06-14
1093262651 David Scot Rapaport Counselor 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 2016-09-01
1104372960 Kevin Lyn Sisson Student in an Organized Health Care Education/Training Program 417 Neponset Ave, Boston, MA 02122 2016-08-31
Find all providers in zip 02122

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720875 Joey Mark Nguyen Pharmacist 747 Gallivan Blvd, Dorchester, MA 02122 2020-08-14
1851900229 Victoria Uyen Vu Pharmacist 20 Edison Grn Apt 2, Dorchester, MA 02125-4785 2020-07-30
1811394778 Katherine Ng Pharmacist 585 Washingston Street, Dorchester, MA 02124 2014-11-20
1285918375 Liana D Nguyen Pharmacist 56 Draper St # 1, Dorchester, MA 02122-1625 2011-10-06
1750664199 Tina Duong Pharmacist 757 Gallivan Blvd, Dorchester, MA 02122-3109 2011-09-22
1871812750 Anhdao Xuan Tran Pharmacist 1100 Dorchester Ave, Dorchester, MA 02125-3305 2010-05-18
1699817247 Dong Lan Corporation Pharmacist 1167 A Dorchester Ave, Dorchester, MA 02125 2007-02-12
1245308824 Norman Louis Kinan Pharmacist 1735 Dorchester Ave, Dorchester, MA 02124 2006-12-01
1134731979 Emily Rutkey Pharmacist 585 Washington St, Dorchester, MA 02124-2032 2020-08-22
1215549548 Ugwumsinachi Ibiam Pharmacist 585 Washington St, Dorchester, MA 02124-2032 2020-08-18
Find all providers in DORCHESTER

Competitor

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City DORCHESTER
Zip Code 02122

Improve Information

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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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