BRIANNA KATHERINE KIMBALL (NPI# 1134773310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134773310 |
| Entity Type | Individual |
| Full Name | BRIANNA KATHERINE KIMBALL |
| Credential | PHARMD |
| Practice Address |
1150 New London Ave Cranston RI 02920-3036 |
| Practice Telephone | 4016544000 |
| Mailing Telephone | 4016544000 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH05939 | RI | Pharmacy Service Providers |
| Street Address |
1150 NEW LONDON AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477520906 | Andrew Macko | Physician Assistant | 1150 New London Ave, Cranston, RI 02920-3036 | 2006-03-03 |
| 1285289603 | Maria Charbonneau | Pharmacist | 1150 New London Ave, Cranston, RI 02920-3036 | 2019-08-02 |
| 1841572385 | Andrea Marie Dichele Wheeler | Pharmacist | 1150 New London Ave, Cranston, RI 02920-3036 | 2011-09-11 |
| 1043509672 | Geriatrics Associates LLC | Physician Assistant | 1150 New London Ave, Cranston, RI 02920-3036 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| 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 |
|---|---|---|---|---|
| 1023619103 | Todd Estus | Pharmacist | 71 Paul Ave, Wakefield, RI 02879-1504 | 2020-11-04 |
| 1255733507 | Lillian Nieves | Pharmacist | 77 Shickasheen Way, West Kingston, RI 02892-1813 | 2014-09-18 |
| 1730447293 | Celia Macdonnell | Pharmacist | 13 Mccormick Rd, Newport, RI 02840-4313 | 2012-05-02 |
| 1134403496 | Angelica Rosemary Lupo | Pharmacist | 5 Tartaglia St, Johnston, RI 02919-5929 | 2011-10-05 |
| 1114243086 | Felix Baez | Pharmacist | 35 Messina St, Providence, RI 02908-1613 | 2010-04-15 |
| 1154928661 | Cassandra Couture | Pharmacist | 1123 Boston Neck Rd, Narragansett, RI 02882-1734 | 2020-10-07 |
| 1851926364 | Charles Agwunobi | Pharmacist | 1017 Smith St, Providence, RI 02908-2747 | 2020-03-04 |
| 1144887118 | Julie Barber | Pharmacist | 25 Wells St, Westerly, RI 02891-2934 | 2019-05-24 |
| 1972160257 | Lani Kai Ritter | Pharmacist | 25 Wells St, Westerly, RI 02891-2922 | 2019-05-22 |
| 1538659289 | Melissa Agonia | Pharmacist | 639 Metacom Ave, Warren, RI 02885 | 2018-05-17 |
| 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.