PAUL R BERGERON (NPI# 1407901440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407901440 |
| Entity Type | Individual |
| Full Name | PAUL R BERGERON |
| Credential | RPH |
| Practice Address |
13 Brown St Providence RI 02912-9006 |
| Mailing Address |
51 Magnolia Dr North Attleboro MA 02760-4021 |
| Practice Telephone | 4018637882 |
| Mailing Telephone | 4018631016 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3315 | RI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931355 | Paul Phillip Bergeron | Internal Medicine | 2 Northdale Ter, Boston, MA 02132-5514 | 2005-09-06 |
| 1235182429 | Paul M Bergeron | Specialist | 4220 Harding Rd, Nashville, TN 37205-2005 | 2006-05-18 |
| Street Address |
13 BROWN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02912-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013149 | Brown University of Provedence State of Ri and Prov Plantaio | Pharmacy | 13 Brown St, Providence, RI 02912-9006 | 2006-06-18 |
| 1164902557 | Spencer Lynch | Nurse Practitioner | 13 Brown St, Providence, RI 02912-9006 | 2018-08-15 |
| 1073667713 | Edward Adams Wheeler Jr. | Internal Medicine | 13 Brown St, Providence, RI 02912-9006 | 2007-01-22 |
| 1750442059 | Brown University Health Services Pharmacy | Pharmacist | 13 Brown St, Providence, RI 02912-9006 | 2006-12-12 |
| 1861567323 | Laura N. Ward | Nurse Practitioner | 13 Brown St, Providence, RI 02912 | 2006-11-21 |
| 1295834786 | Constance Rogerson Hiller | Pediatrics | 13 Brown St, Providence, RI 02912-9006 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265556872 | Tor Clark | Physician Assistant | Brown University Health Service, Box 1928, Providence, RI 02912 | 2007-03-19 |
| 1477527182 | Tanya Christine Sullivan | Nurse Practitioner | 13 Brown Street Andrews House, Providence, RI 02912 | 2006-02-17 |
| 1417363151 | Beth Conroy | Specialist/Technologist | 235 Hope St, Box 1933, Providence, RI 02912 | 2014-07-02 |
| 1194337220 | Shannon Adams | Student in an Organized Health Care Education/Training Program | Brown University Box G-9999, Providence, RI 02912-0001 | 2020-08-19 |
| 1962024869 | Chonlada Jarukitisakul | Psychologist | 69 Brown Street Page-robinson Hall 512, Providence, RI 02912-0001 | 2020-05-13 |
| 1730747502 | Kristian Georgiev | Student in an Organized Health Care Education/Training Program | Brown University Box G-9525, Providence, RI 02912-0001 | 2019-06-05 |
| 1881184042 | Diane Farber | Psychologist | Brown University Counseling and Psychological Services, Providence, RI 02912-0001 | 2018-05-14 |
| 1558758664 | Brian Michael Daigneault | Specialist/Technologist | 229 Hope St Box 1933, Providence, RI 02912-0001 | 2015-04-16 |
| 1346647450 | Kate Carey | Psychologist | Po Box G-s121, Brown University School of Public Health, Providence, RI 02912-0001 | 2014-12-04 |
| 1306188909 | Albert Edward Dahlberg | General Practice | 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 | 2013-03-21 |
| Find all providers in zip 02912 | ||||
| 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 | 02912 |
Please comment or provide details below to improve the information on PAUL R BERGERON.
| 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.