DR. JACKIE HABCHI (NPI# 1215549910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215549910 |
| Entity Type | Individual |
| Full Name | DR. JACKIE HABCHI |
| Credential | PHARMD |
| Practice Address |
335 Prairie Ave Providence RI 02905-1924 |
| Mailing Address |
33 Hybrid Dr Cranston RI 02920-5804 |
| Practice Telephone | 4017814325 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH05764 | RI | Pharmacy Service Providers |
| Street Address |
335 PRAIRIE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548318884 | Melissa A Weintraub | Dentist | 335 Prairie Ave, Providence, RI 02905-2426 | 2007-01-05 |
| 1891309225 | Ethan Melillo | Pharmacist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-09-02 |
| 1073125274 | Zachary Allen Armstrong | Pharmacist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-08-19 |
| 1598380610 | Megan E Lusignan | Optometrist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-06-15 |
| 1518431006 | Tiffany F Rea | Registered Nurse | 335 Prairie Ave, Providence, RI 02905-1924 | 2019-01-17 |
| 1184118127 | Erica Ann Knarr | Dentist | 335 Prairie Ave, Providence, RI 02905 | 2018-06-21 |
| 1336675768 | Valerie Marie Vorderstrasse | Psychologist | 335 Prairie Ave, Providence, RI 02905-1924 | 2017-05-04 |
| 1215478219 | The Providence Community Health Centers, Inc. | Clinic/Center | 335 Prairie Ave, Providence, RI 02905-1924 | 2017-03-10 |
| 1962959320 | Su Jin Bae | Dentist | 335 Prairie Ave, Providence, RI 02905-1924 | 2016-09-02 |
| 1942756549 | Sarah Elizabeth Skov | Pharmacist | 335 Prairie Ave, Providence, RI 02905 | 2016-09-01 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1609301803 | Eugenio Fernandez Jr. | Pharmacist | 206 Cranston St, Providence, RI 02907-2308 | 2017-04-25 |
| 1619379682 | Priya Amin | Pharmacist | 10 Davol Sq Ste 400, Providence, RI 02903-4752 | 2014-09-22 |
| 1831503978 | Victor Liang | Pharmacist | 67 Medway St, Apt 1, Providence, RI 02906-4437 | 2014-06-17 |
| 1033521877 | Kelley Sanzen | Pharmacist | 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 | 2014-05-28 |
| 1114271780 | Jordan T Murphy | Pharmacist | 43 Ardoene St, Providence, RI 02907-3407 | 2012-11-05 |
| 1376892224 | Kelsey R Luczak | Pharmacist | 10 Davol Square, Suite 400, Providence, RI 02903 | 2012-09-06 |
| 1508148214 | Marielle Galera | Pharmacist | 903 Providence Pl Apt 310, Providence, RI 02903-7009 | 2011-09-20 |
| 1942591888 | Andrew Alexander | Pharmacist | 50 N Highway 165, Providence, UT 84332-6700 | 2011-04-26 |
| 1679863708 | Fiona A. Leo-mensah | Pharmacist | 200 Academy Ave, Providence, RI 02908-4453 | 2011-04-11 |
| 1396034575 | Bryan James Hubel | Pharmacist | 456 Branch Ave, Providence, RI 02904-2205 | 2011-03-28 |
| Find all providers in PROVIDENCE | ||||
| 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.