DIANA GRULLON TAVARES (NPI# 1154862654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154862654 |
| Entity Type | Individual |
| Full Name | DIANA GRULLON TAVARES |
| Practice Address |
2240 3rd Ave New York NY 10035-2904 |
| Practice Telephone | 2123601757 |
| Practice Fax Number | 9176757055 |
| Mailing Telephone | 2123601757 |
| Mailing Fax Number | 9176757055 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 035341 | NY | Pharmacy Service Providers |
| Street Address |
2240 3RD AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518015130 | Nikhil Patel | Pharmacist | 2240 3rd Ave, New York, NY 10035-2904 | 2007-01-08 |
| 1689115198 | Harlem Corner Pharmacy Inc | Pharmacy | 2240 3rd Ave, New York, NY 10035-2904 | 2017-03-16 |
| 1679029615 | Robin Singer | Pharmacist | 2240 3rd Ave, New York, NY 10035-2904 | 2016-08-30 |
| 1982752531 | Avn Pharmacy, Inc | Pharmacy | 2240 3rd Ave, New York, NY 10035-2904 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| 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 |
|---|---|---|---|---|
| 1306451638 | Kendra H Yum | Pharmacist | 1470 Madison Ave Fl 4, New York, NY 10029-6542 | 2020-09-14 |
| 1992317994 | Connie Ka Wing Huang | Pharmacist | 20 Confucius Plz Apt 11l, New York, NY 10002-6735 | 2020-08-20 |
| 1306468921 | Omar Adnan Ahmed Bekhit Elsayed | Pharmacist | 255 Audubon Ave Apt 2b, New York, NY 10033-7344 | 2020-05-18 |
| 1235750118 | Jessie Cheong | Pharmacist | 400 Broadway Bsmt Pharmacy, New York, NY 10013-3698 | 2020-05-01 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1184253031 | Felicia Kelly Berben | Pharmacist | 900 Broadway Ste 706a, New York, NY 10003-1210 | 2020-04-03 |
| 1700419900 | Amanda Mai | Pharmacist | 53 Elizabeth St # 1b, New York, NY 10013-4617 | 2020-02-16 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1083251144 | Lyndon A Johnson Jr. | Pharmacist | 525 E 68th St Ste F-01170, New York, NY 10065-4870 | 2019-12-06 |
| 1245875103 | Ashley Jiang | Pharmacist | 13 Eldridge St # Sta, New York, NY 10002-6217 | 2019-11-14 |
| Find all providers in NEW YORK | ||||
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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.