DR. STEPHANIE BLAKE (NPI# 1366840910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366840910 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE BLAKE |
| Credential | PHARM.D. |
| Practice Address |
77 Chicago Ave Staten Island NY 10305-3757 |
| Practice Telephone | 9147736730 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0366491 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710815 | Stephanie Blake | Specialist/Technologist | 60 W Fulbright St, Walnut Ridge, AR 72476-9000 | 2018-05-17 |
| 1649365362 | Stephanie Kuulei Blake | Social Worker | 26 W Hidden Hollow Dr, Orem, UT 84058-7497 | 2006-10-04 |
| 1376109272 | Stephanie Blake | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2019-05-15 |
| 1841707403 | Stephanie S Blake | Social Worker | 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 | 2018-01-04 |
| 1164811279 | Stephanie Kay Blake | Physical Therapist | 8537 Asheville Hwy, Suite 201, Knoxville, TN 37924-4124 | 2015-01-13 |
| 1003124769 | Stephanie Danielle Blake | Physical Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2010-09-15 |
| 1053585638 | Stephanie Mccallum Blake | Nurse Practitioner | Baptist Medical Center, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-04-15 |
| Street Address |
77 CHICAGO AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955267 | Samantha Leigh Berman | Social Worker | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2006-11-07 |
| 1285235788 | Lara Halwani | Social Worker | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2020-11-03 |
| 1649879412 | Diana Aba Croffie | Registered Nurse | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2020-10-22 |
| 1548890312 | Wanda Eveliz Ginch | Social Worker | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2020-01-21 |
| 1699312413 | Darien Raggobeer | Registered Nurse | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2019-12-01 |
| 1821649658 | Voltaire Almeda | Registered Nurse | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2019-09-23 |
| 1366926545 | Rose Marie Bolella | Social Worker | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2018-09-24 |
| 1043706229 | Kraig Amundsen | Student in an Organized Health Care Education/Training Program | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2018-07-10 |
| 1477072213 | Ilona Levina | Student in an Organized Health Care Education/Training Program | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2017-09-13 |
| 1174046825 | Elizabeth Argenziano | Registered Nurse | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| 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 |
|---|---|---|---|---|
| 1083220370 | Minamark M Nageib | Pharmacist | 72 Bridgetown St, Staten Island, NY 10314-6204 | 2020-09-22 |
| 1912513805 | Zakaria Amin | Pharmacist | 382 Ridgewood Ave, Staten Island, NY 10312-2118 | 2020-09-17 |
| 1073136065 | Matthew Thomas Tilatitsky | Pharmacist | 103 Sprague Ave, Staten Island, NY 10307-1931 | 2020-05-25 |
| 1255967220 | Peter J Delorenzo | Pharmacist | 123 Oxford Pl, Staten Island, NY 10301-3016 | 2020-03-21 |
| 1710525514 | Ira Bace | Pharmacist | 146 Freedom Ave, Staten Island, NY 10314-3706 | 2019-12-12 |
| 1760026983 | Hassan Gihad Hamouche | Pharmacist | 213 Norway Ave, Staten Island, NY 10305-3522 | 2019-10-30 |
| 1730722448 | Daniel Nabil Girgis | Pharmacist | 177 Sandalwood Dr, Staten Island, NY 10308-1863 | 2019-10-25 |
| 1437714300 | Miriam Lyubina | Pharmacist | 29 Star Ct, Staten Island, NY 10312-2448 | 2019-05-07 |
| 1134686173 | Muhammad Usman | Pharmacist | 928 Rockland Ave Apt 2, Staten Island, NY 10314-7706 | 2019-02-26 |
| 1831660786 | Amir I Yaqoob | Pharmacist | 92 Slater Blvd, Staten Island, NY 10305-2106 | 2018-12-17 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.