JILL MODI


Address: 82-68 164th St, Jamaica, NY 11432-1121
Phone: 7188833913

JILL MODI (NPI# 1770197519) 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) 1770197519
Entity Type Individual
Full Name JILL MODI
Credential PHARMD
Practice Address 82-68 164th St
Jamaica
NY 11432-1121
Mailing Address 150 W 51st St Apt 817
New York
NY 10019-6838
Practice Telephone 7188833913
Mailing Telephone 6787877479
Enumeration Date 2020-08-31
Last Update Date 2020-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
066819 NY Pharmacy Service Providers

Office Location

Street Address 82-68 164TH ST
City JAMAICA
State NY
Zip Code 11432-1121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023114352 Aliyamma Samuel Nurse Practitioner 82-68 164th St, Jamaica, NY 11432-1121 2006-09-15
1992328264 Anoosh Zafar Gondal Student in an Organized Health Care Education/Training Program 82-68 164th St, Jamaica, NY 11432 2020-05-21
1265088983 Gifty Baffour-addo Nurse Practitioner 82-68 164th St, Jamaica, NY 11432-1121 2019-08-18
1790286201 Grace Kim Pediatrics 82-68 164th St, Suite P113, Jamaica, NY 11432-1121 2018-02-21
1053845065 Tomilade Adepoju Student in an Organized Health Care Education/Training Program 82-68 164th St, Jamaica, NY 11432 2017-04-17
1376074328 Matthew Benjamin Marck Student in an Organized Health Care Education/Training Program 82-68 164th St, Jamaica, NY 11432-1121 2017-03-22
1285096081 Dovid Herskowitz Physician Assistant 82-68 164th St, Suite 1b-02, Jamaica, NY 11432 2016-03-22
1326324831 Zimatu Urenna Chukumerije Emergency Medicine 82-68 164th St, Jamaica, NY 11432 2011-10-27
1184933673 Yvonetta F Morgan Registered Nurse 82-68 164th St, Jamaica, NY 11432-1121 2010-09-30
1184958597 Jennifer Daniel Art Therapist 82-68 164th St, Jamaica, NY 11432-1121 2009-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396361259 Banani Road 11 LLC Pharmacy 181-04 Hillside Ave, Jamaica, NY 11432 2020-06-17
1023633450 Staphanie Anang Licensed Practical Nurse 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 2020-06-11
1205459476 Jasmine Kaur Sandhu Student in an Organized Health Care Education/Training Program 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 2020-05-22
1225650385 Alli El-ijla Student in an Organized Health Care Education/Training Program Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 2020-05-12
1346869955 Liane Zwetzich Student in an Organized Health Care Education/Training Program Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 2020-04-14
1528697141 Bahtiyar Toz Student in an Organized Health Care Education/Training Program 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 2020-04-06
1366089468 Alisha Jnobaptiste Counselor 87-59 171 St., Jamaica, NY 11432 2019-12-08
1356995054 Shawnette Natasha Brown Counselor 178-02/04 Jamaica Ave, Jamaica, NY 11432 2019-07-31
1518527142 Magdalene Vidal Case Manager/Care Coordinator 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 2019-06-17
1811550338 Rong Fan Student in an Organized Health Care Education/Training Program 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 2019-04-19
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386925543 Jessica Malaty Pharmacist St Johns University 8000 Utopia Pkwy, St Albert's Hall Rm 114, Jamaica, NY 11439-0001 2011-09-01
1588264592 Joshua Beckhusen Pharmacist 8268 164th St, Jamaica, NY 11432-1104 2020-10-28
1407171713 Linda Morton Pharmacist 8268 164th St, Jamaica, NY 11432-1121 2010-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241794 Erika Modh Pharmacist 6220 11th Ave, Brooklyn, NY 11219-5204 2020-09-29
1457990657 Hina Khawaja Pharmacist 24 E 24th St, Huntington Station, NY 11746-3702 2020-01-06
1508411810 Michael Richard Izzo Pharmacist 104 Reservoir Rd, Little Falls, NY 13365-5924 2019-08-04
1306498100 Cerris Chung Pharmacist 320 E 94th St # 3f, New York, NY 10128-5604 2019-07-11
1558922419 Jennifer Sophia Orozco Pharmacist 1275 York Ave # 710, New York, NY 10065-6007 2019-06-21
1558846014 Lisa Chu Pharmacist 14634 23rd Ave, Whitestone, NY 11357-3514 2018-10-01
1841772514 Salvatore Oreste Pharmacist 32 Alder Dr, Kings Park, NY 11754-2202 2018-08-30
1184138885 B&t Port Richmond Pharmacy Inc. Pharmacist 251 Port Richmond Ave, Staten Island, NY 10302-1704 2017-11-17
1922510072 Robert O'connell Pharmacist 3840 211th St Fl 2, Bayside, NY 11361-1956 2017-10-30
1427577048 Fawzieh Mourtada Pharmacist Rite Aid, 540 West 235th Street, Bronx, NY 10643 2017-09-14
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Competitor

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City JAMAICA
Zip Code 11432

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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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