ALICIA HABERSHAW (NPI# 1992055909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992055909 |
Entity Type | Individual |
Full Name | ALICIA HABERSHAW |
Credential | PHARM.D |
Practice Address |
28675 County Route 54 Chaumont NY 13622-2414 |
Practice Telephone | 5182531415 |
Enumeration Date | 2012-09-17 |
Last Update Date | 2012-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 056763 | NY | Pharmacy Service Providers |
Street Address |
28675 COUNTY ROUTE 54 |
City | CHAUMONT |
State | NY |
Zip Code | 13622-2414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477701589 | Kathleen Marie Robie | Registered Nurse | 10281 Duck Harbor Rd, Chaumont, NY 13622 | 2008-09-03 |
1245384676 | Lyme Central School District | Local Education Agency (LEA) | 11868 Academy Street, Chaumont, NY 13622-0219 | 2007-01-23 |
1891805016 | Gina M Ferrandino | Psychologist | 27485 Three Mile Point Rd, Chaumont, NY 13622-2187 | 2006-08-30 |
1124677083 | Matthew Klock | Pharmacist | 31187 Ashland Rd, Chaumont, NY 13622-2197 | 2019-09-04 |
1255748463 | Christopher Lee Vincent | Licensed Practical Nurse | 28324 County Route 54, Chaumont, NY 13622-2416 | 2014-07-20 |
1316357908 | Tracy Coolidge | Licensed Practical Nurse | 10795 Cheever Rd, Chaumont, NY 13622-3209 | 2014-05-05 |
1144797150 | Celina Ostrander | Speech-Language Pathologist | 11868 Academy St, Chaumont, NY 13622-7709 | 2018-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124677083 | Matthew Klock | Pharmacist | 31187 Ashland Rd, Chaumont, NY 13622-2197 | 2019-09-04 |
1144797150 | Celina Ostrander | Speech-Language Pathologist | 11868 Academy St, Chaumont, NY 13622-7709 | 2018-10-29 |
1255748463 | Christopher Lee Vincent | Licensed Practical Nurse | 28324 County Route 54, Chaumont, NY 13622-2416 | 2014-07-20 |
1316357908 | Tracy Coolidge | Licensed Practical Nurse | 10795 Cheever Rd, Chaumont, NY 13622-3209 | 2014-05-05 |
1477701589 | Kathleen Marie Robie | Registered Nurse | 10281 Duck Harbor Rd, Chaumont, NY 13622 | 2008-09-03 |
1245384676 | Lyme Central School District | Local Education Agency (LEA) | 11868 Academy Street, Chaumont, NY 13622-0219 | 2007-01-23 |
1891805016 | Gina M Ferrandino | Psychologist | 27485 Three Mile Point Rd, Chaumont, NY 13622-2187 | 2006-08-30 |
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 |
---|---|---|---|---|
1124677083 | Matthew Klock | Pharmacist | 31187 Ashland Rd, Chaumont, NY 13622-2197 | 2019-09-04 |
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 |
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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.