KAYLA BOURBONNIERE (NPI# 1982204335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982204335 |
| Entity Type | Individual |
| Full Name | KAYLA BOURBONNIERE |
| Practice Address |
1776 Plainfield Pike Cranston RI 02921-2042 |
| Mailing Address |
3 Ivy Dr Coventry RI 02816-8529 |
| Practice Telephone | 4019462040 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH238232 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH05903 | RI | Pharmacy Service Providers |
| Street Address |
1776 PLAINFIELD PIKE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02921-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338202 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1776 Plainfield Pike, Cranston, RI 02921-2042 | 2006-07-16 |
| 1952901910 | Stephen Martin Block | Pharmacist | 1776 Plainfield Pike, Cranston, RI 02921 | 2020-10-29 |
| 1033719497 | Tonya Lee Lomastro | Pharmacist | 1776 Plainfield Pike, Cranston, RI 02921-2042 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568490 | Debra A Kirinsky | Technician | 31 Ellen Lane, Cranston, RI 02921 | 2019-10-08 |
| 1447305263 | Cra-mar Corporation | Skilled Nursing Facility | 575 Seven Mile Road, Cranston, RI 02921 | 2007-01-24 |
| 1053370247 | Northeast Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 31 Western Industrial Drive, Cranston, RI 02921 | 2006-03-17 |
| 1871009159 | Hmea Dba Techaccess of Ri | Occupational Therapist | 161 Comstock Pkwy, Cranston, RI 02921 | 2017-12-21 |
| 1689708992 | Gateways To Change, Inc. | Nursing Care | 7 Redbud Ter, Cranston, RI 02921-1012 | 2007-03-16 |
| 1699865154 | Nicole Michelle Iannelli | Counselor | 54 Sycamore Dr, Cranston, RI 02921-1015 | 2006-10-13 |
| 1578689873 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Natick Ave, Cranston, RI 02921-1106 | 2007-03-21 |
| 1205295607 | Kate Dimaio | Occupational Therapist | 533 Phenix Ave, Cranston, RI 02921-1123 | 2016-02-15 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1033453477 | Gladko Ride Transportation | Non-emergency Medical Transport (VAN) | 2060 Phenix Ave, Cranston, RI 02921-1211 | 2012-11-26 |
| Find all providers in zip 02921 | ||||
| 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 |
|---|---|---|---|---|
| 1033736301 | Lauren Nicole Gronau | Pharmacist | 89 Hoffman Ave, Cranston, RI 02920-4508 | 2020-07-02 |
| 1538796719 | Galin Tanashian | Pharmacist | 38 Leslie St, Cranston, RI 02910-2631 | 2020-03-26 |
| 1255818712 | Sarah Elizabeth Chin | Pharmacist | 70 Hazelton St, Cranston, RI 02920-6313 | 2018-07-26 |
| 1699127761 | Christopher Todd | Pharmacist | 2 Paige Cir, Cranston, RI 02921-7506 | 2016-07-12 |
| 1437503265 | Zahan Akbar | Pharmacist | 22 Country Meadow Dr, Cranston, RI 02921-1255 | 2016-04-18 |
| 1437550118 | Ayoola Awosika | Pharmacist | 6 Dunedin St, Cranston, RI 02920-7608 | 2014-09-12 |
| 1760765341 | Kevin L Chung | Pharmacist | 143 Twin Birch Dr, Cranston, RI 02921-7511 | 2011-09-21 |
| 1841572302 | Patricia Cyr | Pharmacist | 1279 Oaklawn Ave, Cranston, RI 02920-2652 | 2011-09-12 |
| 1710270681 | Annmarie Devine | Pharmacist | 1011 Cranston St, Cranston, RI 02920 | 2011-05-25 |
| 1174816169 | Stephen Paul Ashukian | Pharmacist | 105 Ashley St, Cranston, RI 02920-6405 | 2011-05-24 |
| Find all providers in CRANSTON | ||||
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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.