KATELYNN JARVIS (NPI# 1336553882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336553882 |
| Entity Type | Individual |
| Full Name | KATELYNN JARVIS |
| Credential | PHARMD |
| Practice Address |
467 Broadway Revere MA 02151-3030 |
| Practice Telephone | 7812898656 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 27072 | MA | Pharmacy Service Providers |
| Street Address |
467 BROADWAY |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659471084 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 467 Broadway, Revere, MA 02151-3030 | 2006-09-25 |
| 1811546583 | Joanne Bairos | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2019-09-05 |
| 1376090175 | Lisa Le | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2016-09-09 |
| 1487030698 | Goldrosa Vuong | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2015-08-11 |
| 1548580244 | Edwige Kounga Kamdem | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2010-06-03 |
| 1023337748 | James Paul Kraemer | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| 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 |
|---|---|---|---|---|
| 1265830889 | Erica Lau | Pharmacist | 21 Overlook Ridge Ter, Apt 322, Revere, MA 02151-1190 | 2014-12-13 |
| 1427472414 | Joanne M Sadrati | Pharmacist | 33 Wave Ave, Apt3, Revere, MA 02151-5452 | 2014-02-11 |
| 1679904122 | Kathleen Noelle Barnum | Pharmacist | 50 Waite St # 2, Revere, MA 02151-4641 | 2013-12-10 |
| 1275815185 | Wlagreens Pharmacy | Pharmacist | 43 Milano Ave, Revere, MA 02151-2127 | 2011-09-16 |
| 1801116504 | Nicole Sandra Henderson | Pharmacist | 653 Squire Rd, Revere, MA 02151-1866 | 2010-06-03 |
| 1811546583 | Joanne Bairos | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2019-09-05 |
| 1316428774 | Hannah Zawia | Pharmacist | 36 Furlong Dr, Revere, MA 02151-4006 | 2018-08-23 |
| 1376090175 | Lisa Le | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2016-09-09 |
| 1841668878 | Bisrat Mulugeta | Pharmacist | 21 Overlook Ridge Ter, Apt 410, Revere, MA 02151-1190 | 2015-09-08 |
| 1306213905 | Jill Hills | Pharmacist | 430 Broadway, Revere, MA 02151-3058 | 2015-08-31 |
| Find all providers in REVERE | ||||
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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.