NICHOLAS SERVATI (NPI# 1285280693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285280693 |
| Entity Type | Individual |
| Full Name | NICHOLAS SERVATI |
| Practice Address |
55 Lake Avenue North Department of Pharmacy Worcester MA 01655 |
| Mailing Address |
55 Lake Avenue Department of Pharmacy Worcester MA 01655 |
| Practice Telephone | 7744411532 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH238460 | MA | Pharmacy Service Providers |
| Street Address |
55 LAKE AVENUE NORTH DEPARTMENT OF PHARMACY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779054 | Mercedes Elvira Menendez | Psychiatry & Neurology | 55 Lake Avenue North, Umass Memorial Medical Center, Adult Mental Health Unit, Worcester, MA 01655-0002 | 2005-12-01 |
| 1750907358 | Kiara Ortiz | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Umass Memorial Medical Center, Worcester, MA 01655 | 2020-06-19 |
| 1326668849 | Jeremy Ezra Springer | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-24 |
| 1851911457 | Akanksha Gulati | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-23 |
| 1093344467 | Katherine Hendren Rose | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-07 |
| 1801424007 | Stephen Anders | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-01 |
| 1316575590 | Alexandria Capozza | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655-0002 | 2020-04-01 |
| 1013545706 | Pooja Prakash Kumar | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-03-30 |
| 1598393373 | Lila Kaminsky | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-03-29 |
| 1386285831 | Alyssa Richard-figueroa | Social Worker | 55 Lake Avenue North, Emergency Mental Health Service, Worcester, MA 01655 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| 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 |
|---|---|---|---|---|
| 1467730705 | Michael Dellaquila | Pharmacist | 281 Lincoln St, Worcester, MA 01605-2138 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419948 | Andrew Stein | Pharmacist | 401 Great Plain Ave, Needham, MA 02492-3735 | 2020-08-28 |
| 1356954010 | Hossein Monzavi | Pharmacist | 25 Carleton St Bldg E-23, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1750901419 | Tiffany Nicole Powers | Pharmacist | 96 Chestnut St, Foxborough, MA 02035-1444 | 2020-04-23 |
| 1538792270 | Collin O'neill | Pharmacist | 135 Pleasant St Apt 405, Brookline, MA 02446-7187 | 2020-02-21 |
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1376193581 | Andrew Swanner | Pharmacist | 250 W 5th St Apt 3, Boston, MA 02127-4604 | 2019-09-19 |
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1558843896 | Laura Elizabeth Martin | Pharmacist | 133 Old Rd 9 Acre Cor, Concord, MA 01742-4169 | 2018-09-04 |
| 1487183380 | Benjamin Laliberte | Pharmacist | 55 Fruit St # St-005, Boston, MA 02114-2621 | 2017-06-06 |
| 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.