NICOLE BRENES DOMINGUEZ (NPI# 1164791232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164791232 |
| Entity Type | Individual |
| Full Name | NICOLE BRENES DOMINGUEZ |
| Credential | PHARM D. |
| Practice Address |
1847 Rockaway Pkwy Brooklyn NY 11236-5307 |
| Practice Telephone | 7182510426 |
| Mailing Telephone | 7182510426 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | I057705-1 | NY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS039336 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341760 | Nicole Elizabeth Dominguez | Physical Therapist | 6300 Kingery Hwy Ste 100, Willowbrook, IL 60527-2250 | 2020-03-13 |
| 1437700200 | Nicole Leann Dominguez | Social Worker | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2019-09-24 |
| 1811422058 | Nicole Dominguez | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2017-04-25 |
| 1871025833 | Nicole Dominguez | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2017-03-29 |
| Street Address |
1847 ROCKAWAY PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083898506 | Anthony Louis Eugenio | Pharmacist | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2007-12-19 |
| 1326418765 | Samantha Woon | Pharmacist | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2015-09-28 |
| 1598156580 | Shun Ting Cheung | Pharmacist | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2015-02-11 |
| 1356623045 | Michelle Francois | Pharmacist | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2011-09-19 |
| 1306169982 | Daphney Nicolas | Pharmacist | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2010-03-10 |
| 1609007871 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1417563271 | Kareem Abdelhadi | Pharmacist | 482 E 2nd St, Brooklyn, NY 11218-4504 | 2020-09-17 |
| 1447862495 | Pamella Pisahov | Pharmacist | 1699 E 34th St, Brooklyn, NY 11234-4222 | 2020-08-20 |
| 1013527878 | Amanda Ye | Pharmacist | 1152 67th St Apt 3b, Brooklyn, NY 11219-5949 | 2020-08-06 |
| 1710503891 | Sinai Marisol Polanco Diaz | Pharmacist | 28 Nichols Ave, Brooklyn, NY 11208-1510 | 2020-06-24 |
| 1588284541 | Melissa Aristide | Pharmacist | 1403 E 88th St, Brooklyn, NY 11236-5119 | 2020-04-20 |
| 1255960852 | Michelle Isabella Zeltser | Pharmacist | 2821 Batchelder St, Brooklyn, NY 11235-1897 | 2020-04-06 |
| Find all providers in BROOKLYN | ||||
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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.