MELISSA DORISMOND (NPI# 1407468291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407468291 |
| Entity Type | Individual |
| Full Name | MELISSA DORISMOND |
| Credential | PHARMD |
| Practice Address |
290 Broadway Lynn MA 01904-1806 |
| Practice Telephone | 7815819400 |
| Mailing Telephone | 7815819400 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH239186 | MA | Pharmacy Service Providers |
| Street Address |
290 BROADWAY |
| City | LYNN |
| State | MA |
| Zip Code | 01904-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154336352 | Walgreen Eastern Co Inc | Pharmacy | 290 Broadway, Lynn, MA 01904-1806 | 2006-07-29 |
| 1437433042 | Carmen Iannuzzi | Pharmacist | 290 Broadway, Lynn, MA 01904 | 2011-09-30 |
| 1629350483 | Mary Gene Butland | Pharmacist | 290 Broadway, Lynn, MA 01904-1806 | 2011-09-16 |
| 1629350897 | Daniel Quoc An | Pharmacist | 290 Broadway, Lynn, MA 01904-1806 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546991 | Dorothy Perry | Social Worker | Bayridge Hospital 60 Granite St, Lynn, MA 01904 | 2018-07-30 |
| 1700301876 | Chris-ann Dawkins | Behavioral Analyst | 169 Den Quarry Road, Lynn, MA 01904 | 2017-08-09 |
| 1063953594 | Juli M Knight | Specialist/Technologist, Other | 9 Boston St, 2nd Floor, Lynn, MA 01904 | 2017-03-16 |
| 1396972832 | Ryan Gosselin | Internal Medicine | 496 Lynnfield St., Lynn, MA 01904 | 2009-06-11 |
| 1366645665 | Robert E Sloane Md PC | Surgery | 480 Lynnfield Street, Lynn East Medical Bldg, Lynn, MA 01904 | 2007-06-06 |
| 1881895290 | Joseph T. Pinho | Counselor | Children's Friends, 30 Boston St., Lynn, MA 01904 | 2007-05-31 |
| 1033271010 | Prabakar Thyagarajan | Psychiatry & Neurology | 60 Granite Street, Bayridge Hospital, Lynn, MA 01904 | 2006-12-15 |
| 1376616029 | Walter J Nalesnik Jr. | Internal Medicine | 225 Boston Street, 204, Lynn, MA 01904 | 2006-11-17 |
| 1568531515 | Kerry Ann Washburn | Counselor | 30 Boston Street, Children's Friend, Lynn, MA 01904 | 2006-11-06 |
| 1033121033 | Joseph A Wescott | Dentist | 341 Western Avenue, Lynn, MA 01904 | 2006-08-12 |
| Find all providers in zip 01904 | ||||
| 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 |
|---|---|---|---|---|
| 1265800932 | Milana Sokolovskaya | Pharmacist | 10 Pleasant St Apt 204, Lynn, MA 01902-4463 | 2015-09-10 |
| 1235550278 | Renee Caron | Pharmacist | 46 Arbor St, Lynn, MA 01902-1107 | 2013-12-17 |
| 1336456490 | Victoria Garber | Pharmacist | 158 Lewis St, Lynn, MA 01902 | 2010-09-09 |
| 1396052668 | Benny V George | Pharmacist | 158 Lewis Street, Lynn, MA 01902 | 2010-09-08 |
| 1770801649 | Richard D Geaney Jr. | Pharmacist | 14 Sweetser Ter, Lynn, MA 01904-2609 | 2010-05-17 |
| 1891013132 | Michael Leonard Katz | Pharmacist | 52 Boston St, Lynn, MA 01904-2538 | 2010-05-11 |
| 1326210816 | Inna Rizhanovskaya | Pharmacist | 43 State St, Lynn, MA 01901-1504 | 2008-03-25 |
| 1770183139 | Ginu Mathew | Pharmacist | 780 Lynnway, Lynn, MA 01905-3061 | 2020-10-27 |
| 1679105241 | Mina Nguyen | Pharmacist | 780 Lynnway, Lynn, MA 01905-3061 | 2020-02-11 |
| 1124664909 | Han Gyul Yoo | Pharmacist | 65 Boston St, Lynn, MA 01904-2524 | 2019-11-26 |
| Find all providers in LYNN | ||||
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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.