REGINA VASSALLO


Address: 235 Lucas Ln Apt 9, Voorhees, NJ 08043-2537
Phone: 6096174257

REGINA VASSALLO (NPI# 1801257407) 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) 1801257407
Entity Type Individual
Full Name REGINA VASSALLO
Credential PHARMD
Practice Address 235 Lucas Ln Apt 9
Voorhees
NJ 08043-2537
Practice Telephone 6096174257
Mailing Telephone 6096174257
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RP449892 PA Pharmacy Service Providers
Y 183500000X Pharmacist 28RI03761100 NJ Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PHARMACIST LICENSE RP449892 01
NJ PHARMACIST LICENSE 28RI03761100 01

Office Location

Street Address 235 LUCAS LN APT 9
City VOORHEES
State NJ
Zip Code 08043-2537

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NPI Name Taxonomy Address Enumeration
1679186308 Priya P Amin Chiropractor 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 2020-08-24
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1689215345 Julia Amariti Dietitian, Registered 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 2019-10-03
1457821787 Hcp Voorhees Township Nj Opco, LLC Alzheimer Center (Dementia Center) 1301 Laurel Oak Road, Voorhees Township, NJ 08043 2018-11-29
1003386665 Durand, Inc. In Home Supportive Care 107 Camden Avenue, Voorhees, NJ 08043 2018-11-27
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1184192734 Michelle Ko Physician Assistant 900 Centennial Blvd Ste K, Voorhees, NJ 08043 2018-11-12
1346716107 Ashlee Barton Counselor 1103 Sheppard Rd, Voorhees Township, NJ 08043 2018-10-19
1033691472 Carolyn A Gribbin Social Worker 3033 5th Street, Voorhees, NJ 08043 2018-09-01
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407251911 Kathryn Sanders Pharmacist 545 Cormorant Dr, Voorhees, NJ 08043-3202 2014-10-27
1649554502 Grace A Jost Pharmacist 22 Lafayette Ave, Voorhees, NJ 08043-9534 2011-10-10
1427344902 Khurshid Alam Pharmacist 1 Ashbrooke Dr, Voorhees, NJ 08043-2816 2011-06-23
1972820413 Yury Shekhter Pharmacist 91 Route 73, Voorhees, NJ 08043-9532 2010-04-23
1104142801 Eleni Angelopoulos-frazier Pharmacist 480 Centennial Blvd, Voorhees, NJ 08043-3808 2010-04-20
1306072665 Nittal Kalusing Lodha Pharmacist 71 Regan Ln, Voorhees, NJ 08043 2009-06-01
1841455847 David S Grill Pharmacist 20 Hazel Ave, Voorhees, NJ 08043-3402 2008-07-20
1477763274 Richard Bruce Greene Pharmacist 54 Alyce Ln, Voorhees, NJ 08043-4768 2007-05-23
1053938316 Renee Kopec Pharmacist 100 Bowman Dr, Voorhees, NJ 08043-9612 2020-07-02
1023587979 Adrea Yang Pharmacist 480 Centennial Blvd, Voorhees, NJ 08043-3808 2018-11-21
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Competitor

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City VOORHEES
Zip Code 08043

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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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