DR. JESSICA GODBOUT (NPI# 1467749333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467749333 |
| Entity Type | Individual |
| Full Name | DR. JESSICA GODBOUT |
| Credential | PHARM.D. |
| Practice Address |
400 Bald Hill Rd Ste 200 T-2430 Warwick RI 02886-6101 |
| Practice Telephone | 4012441973 |
| Mailing Telephone | 4012441973 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH04855 | RI | Pharmacy Service Providers |
| Street Address |
400 BALD HILL RD STE 200 T-2430 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003212366 | Megan Haber | Pharmacist | 400 Bald Hill Rd Ste 200, Warwick, RI 02886-6101 | 2014-11-14 |
| 1427338540 | Nikayla M Iacobbo | Pharmacist | 400 Bald Hill Rd Ste 200, Target Pharmacy Store Number (t-2430), Warwick, RI 02886-6101 | 2011-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| 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 |
|---|---|---|---|---|
| 1255943973 | Davidta Brown | Pharmacist | 26 Baron Dr, Warwick, NY 10990-3462 | 2020-08-24 |
| 1881008548 | Stephanie Wildenhain | Pharmacist | 83 Vermont Ave Unit 2, Warwick, RI 02888-3047 | 2014-06-20 |
| 1679993158 | Patricia Lurye | Pharmacist | 32 Woodside Dr, Warwick, NY 10990-1038 | 2014-04-23 |
| 1700163763 | Stacey Jean Ranucci | Pharmacist | 268 Sleepy Hollow Farm Rd, Warwick, RI 02886-0408 | 2011-11-04 |
| 1235423492 | Chantele Jeanette Buratczuk | Pharmacist | 2595 W Shore Rd, Warwick, RI 02889-8106 | 2011-06-06 |
| 1710277355 | Jessica Reall | Pharmacist | 1201 Warwick Ave, Warwick, RI 02888-4108 | 2011-04-16 |
| 1396050969 | John J Franko | Pharmacist | 57 Ewing Ct, Warwick, RI 02889-3129 | 2010-08-08 |
| 1346553005 | Alanna Jean Solomon | Pharmacist | 2055 Warwick Ave, Warwick, RI 02889-3144 | 2010-07-22 |
| 1396064788 | Orest Zalusky | Pharmacist | 153 South Route 94, Suite 2, Warwick, NY 10990-3658 | 2010-05-24 |
| 1336371368 | Kylie R Aubin | Pharmacist | 1080 Bald Hill Rd, Warwick, RI 02886-4202 | 2009-08-09 |
| Find all providers in WARWICK | ||||
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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.