ALESA YEVGENYEVNA CAMPBELL (NPI# 1013530260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013530260 |
| Entity Type | Individual |
| Full Name | ALESA YEVGENYEVNA CAMPBELL |
| Credential | PHARMD |
| Practice Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 7189204229 |
| Mailing Telephone | 7189204229 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
058557 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | REGISTERED PHARMACIST | 058557 | 01 |
| Street Address |
111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| 1518291087 | Chidiebere Betran Aballa | Pharmacist | 563 East . Tremont Ave., Best Aid Pharmacy, Bronx, NY 10450 | 2009-09-30 |
| 1124628755 | Eka Beriashvili | Pharmacist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-11-01 |
| 1912506676 | Debra Willner | Pharmacist | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-10-22 |
| 1356951594 | Lendelle Raymond | Pharmacist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-03 |
| 1548879463 | Jessica Monica Pitcairn | Pharmacist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-07-27 |
| 1427667633 | Myroslava Sharabun | Pharmacist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-07-24 |
| 1669029807 | Victor Chen | Pharmacist | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2019-08-22 |
| 1750868972 | Muhammad Tahhur Mir | Pharmacist | 306 E 149th St, Bronx, NY 10451-5602 | 2018-07-20 |
| 1639566813 | Angela Gandolfa Giovanniello | Pharmacist | 305 E 161st St, Chcc- Montefiore Medical Group, Bronx, NY 10451-3535 | 2015-04-25 |
| Find all providers in BRONX | ||||
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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.