JILLIAN REYNOLDS (NPI# 1265898233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265898233 |
| Entity Type | Individual |
| Full Name | JILLIAN REYNOLDS |
| Practice Address |
456 Branch Ave Providence RI 02904-2205 |
| Practice Telephone | 4013313554 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH05522 | RI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992358535 | Jillian Reynolds | Speech-Language Pathologist | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2019-07-23 |
| 1336539972 | Jillian Reynolds | Nurse Anesthetist, Certified Registered | 593 Eddy St, Davol 129, Providence, RI 02903-4923 | 2015-02-04 |
| 1386962843 | Jillian Reynolds | Dentist | 300 E Little Creek Rd, Norfolk, VA 23505-2603 | 2010-05-08 |
| Street Address |
456 BRANCH AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396034575 | Bryan James Hubel | Pharmacist | 456 Branch Ave, Providence, RI 02904-2205 | 2011-03-28 |
| 1023531969 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 456 Branch Ave, Providence, RI 02904-2205 | 2017-07-24 |
| 1730589094 | Angela Hagenburg | Pharmacist | 456 Branch Ave, Providence, RI 02904-2205 | 2014-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| 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 |
|---|---|---|---|---|
| 1609301803 | Eugenio Fernandez Jr. | Pharmacist | 206 Cranston St, Providence, RI 02907-2308 | 2017-04-25 |
| 1619379682 | Priya Amin | Pharmacist | 10 Davol Sq Ste 400, Providence, RI 02903-4752 | 2014-09-22 |
| 1831503978 | Victor Liang | Pharmacist | 67 Medway St, Apt 1, Providence, RI 02906-4437 | 2014-06-17 |
| 1033521877 | Kelley Sanzen | Pharmacist | 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 | 2014-05-28 |
| 1114271780 | Jordan T Murphy | Pharmacist | 43 Ardoene St, Providence, RI 02907-3407 | 2012-11-05 |
| 1376892224 | Kelsey R Luczak | Pharmacist | 10 Davol Square, Suite 400, Providence, RI 02903 | 2012-09-06 |
| 1508148214 | Marielle Galera | Pharmacist | 903 Providence Pl Apt 310, Providence, RI 02903-7009 | 2011-09-20 |
| 1942591888 | Andrew Alexander | Pharmacist | 50 N Highway 165, Providence, UT 84332-6700 | 2011-04-26 |
| 1679863708 | Fiona A. Leo-mensah | Pharmacist | 200 Academy Ave, Providence, RI 02908-4453 | 2011-04-11 |
| 1396034575 | Bryan James Hubel | Pharmacist | 456 Branch Ave, Providence, RI 02904-2205 | 2011-03-28 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on JILLIAN REYNOLDS.
| 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.