JACQUELINE GORDON (NPI# 1760429401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760429401 |
| Entity Type | Individual |
| Full Name | JACQUELINE GORDON |
| Practice Address |
17903 Linden Blvd Jamaica NY 11425-0001 |
| Mailing Address |
25307 Memphis Ave Rosedale NY 11422-2527 |
| Practice Telephone | 7185261000 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 039299-1 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770949307 | Jacqueline Gordon | Counselor | 1402 Tevin Way, Madera, CA 93637-6508 | 2016-01-12 |
| 1295954972 | Jacqueline Carol Gordon | Marriage & Family Therapist | 43537 Ridge Park Dr, Temecula, CA 92590-3615 | 2007-04-24 |
| 1114923026 | Jacqueline Gordon | Psychologist | 1423 N Jefferson Ave Ste A-100, Springfield, MO 65802-1917 | 2005-06-24 |
| 1528551330 | Jacqueline Ann Gordon | Counselor | 7301 Poe Ave, Dayton, OH 45414-2559 | 2018-06-07 |
| 1457706285 | Jacqueline Gordon | Counselor | 9235 Lake Forest Blvd, Suite A, New Orleans, LA 70127-3043 | 2016-04-29 |
| 1104241488 | Jacqueline Gordon | Physical Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2014-02-24 |
| Street Address |
17903 LINDEN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11425-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841246097 | Doretha Monday-barbosa | Pharmacist | 17903 Linden Blvd, Jamaica, NY 11425-0001 | 2006-05-26 |
| 1356381461 | James C Barrett | Social Worker | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-06-07 |
| 1073553012 | Carol Marie Rowan | Social Worker | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-06-07 |
| 1447299128 | Alan Jay Geller | Dentist | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-06-06 |
| 1235178922 | I Michael Postol | Dentist | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-06-06 |
| 1023057742 | Frank Anthony Mazzapica Jr. | Dentist | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-06-06 |
| 1275580375 | Lucretia Ann Ziccardi | Nurse Practitioner | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-05-27 |
| 1417904517 | Doris Quijano | Social Worker | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-05-27 |
| 1497702351 | Felicisima David-quines | Family Medicine | 17903 Linden Blvd, Jamaica, NY 11434-1428 | 2006-05-27 |
| 1548216823 | Carmen Margarita Autz | Pharmacist | 17903 Linden Blvd, Jamaica, NY 11425-0001 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982148094 | Michael Shepherd | Social Worker | 179-00 Linden Blvd. Bldg 91 Rm E241, St. Albans E.c.c./dept. of Va, St. Albans, NY 11425 | 2016-12-08 |
| 1629307905 | Mary E Koyl | Social Worker | 179th St and Linden Blvd, St Albans, NY 11425 | 2009-12-15 |
| 1730339805 | Ashleigh Pegg | Contractor | 179th St & Linden Blvd, St. Albans, NY 11425 | 2008-09-25 |
| 1083875470 | Sylvia Myers | Registered Nurse | 179 St. Linden Bivd., St. Albans, NY 11425 | 2008-06-19 |
| 1801074364 | Georgia Mae Dingle | Rehabilitation Counselor | 179 Street Linden Blvd, St. Albans, NY 11425 | 2008-02-07 |
| 1265584114 | Juanita Delgado | Occupational Therapy Assistant | 179 St. Linden Blvd., St.albans, NY 11425 | 2007-01-18 |
| 1063506509 | Phyllis A Filgate | Dietitian, Registered | 179th Street & Linden Blvd, St. Albans, NY 11425 | 2006-10-02 |
| 1982700233 | Simion Zelicof | Dermatology | 179--00 Linden Blvd, Jamaica, NY 11425 | 2006-09-15 |
| 1801823034 | Elizabeth Anne Cancellara | Social Worker | 179th Street Linden Blvd, St. Albans, NY 11425 | 2006-06-26 |
| 1366491037 | Sonsare Gurley | Physician Assistant | 179-01 Linden Blvd, Ny, NY 11425 | 2006-05-09 |
| Find all providers in zip 11425 | ||||
| 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 |
|---|---|---|---|---|
| 1932708211 | Sumiya Iqbal | Pharmacist | 17273 Highland Ave Apt 2, Jamaica, NY 11432-2886 | 2020-10-19 |
| 1982218608 | Irfan Ali | Pharmacist | 12407 Jamaica Ave, Jamaica, NY 11418-2642 | 2020-09-01 |
| 1891308482 | Jacob Zakinov | Pharmacist | 17943 80th Rd, Jamaica, NY 11432-1401 | 2020-08-25 |
| 1922611334 | Evelyna Y Yashayeva | Pharmacist | 14739 Coolidge Ave, Jamaica, NY 11435-1203 | 2020-08-25 |
| 1790396190 | Angela Khaitova | Pharmacist | 8310 Chevy Chase St, Jamaica, NY 11432-1520 | 2020-08-11 |
| 1104461953 | Shamsia Jashim | Pharmacist | 16633 89th Ave Apt 7m, Jamaica, NY 11432-4236 | 2019-11-14 |
| 1790320356 | Svetlana Niyazova | Pharmacist | 14110 82nd Dr Apt 333, Jamaica, NY 11435-1104 | 2019-11-07 |
| 1679117626 | Elizabeth Marcus | Pharmacist | 15311 110th Ave, Jamaica, NY 11433-3102 | 2019-11-03 |
| 1912540535 | Kazi Ayesha Helal | Pharmacist | 8819 171st St Fl 1, Jamaica, NY 11432-4556 | 2019-10-27 |
| 1548813363 | Naila Ahmed | Pharmacist | 8636 139th St Fl 1, Jamaica, NY 11435-3022 | 2019-07-21 |
| Find all providers in JAMAICA | ||||
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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.