JESUSA GERVACIO (NPI# 1952626038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952626038 |
| Entity Type | Individual |
| Full Name | JESUSA GERVACIO |
| Practice Address |
21 09 30 Ave Astoria Queens NY 11102 |
| Mailing Address |
21 09 30 Ave Astoria New York NY 11102 |
| Practice Telephone | 7182786597 |
| Mailing Telephone | 7182786597 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 043173 | NY | Pharmacy Service Providers |
| Street Address |
21 09 30 AVE ASTORIA |
| City | QUEENS |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| 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 |
|---|---|---|---|---|
| 1508306515 | Yelena Iskhakova | Pharmacist | 62-37 99 Street, Rego Park, Queens, NY 11374 | 2017-02-24 |
| 1164779799 | Alex Antonopoulos | Pharmacist | 32-50 Vernon Blvd, Queens, NY 11106 | 2012-08-14 |
| 1144472333 | Richard Tauber | Pharmacist | 4035 95 St, Queens, NY 11373-1773 | 2008-10-21 |
| 1023131380 | Margaret Chau | Pharmacist | 66-26 Metropolitan Avenue, Queens, NY 11386 | 2007-04-09 |
| 1821247073 | Gregory James Hughes | Pharmacist | 8000 Utopia Pkwy, St. Al 114, Queens, NY 11439 | 2008-09-11 |
| 1922271766 | Priti N Patel | Pharmacist | 8000 Utopia Parkway, St. Albert Hall Room 114, Queens, NY 11439 | 2008-04-11 |
| 1518137967 | Ebtesam Ahmed | Pharmacist | 8000 Utopia Parkway, Queens, NY 11439 | 2008-03-01 |
| 1639352099 | Henrietta Agyekum-kusi | Pharmacist | 7960 Metropolitan Ave, Queens, NY 11379 | 2007-12-08 |
| 1568519023 | Mary Choy | Pharmacist | 8000 Utopia Parkway, St. Albert Hall, Rm 114, Queens, NY 11439 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1528669603 | Caroline Preval | Pharmacist | 3333 New Hyde Park Rd, New Hyde Park, NY 11042-1204 | 2020-11-04 |
| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.