DR. JESSICA LYNN DISIENA (NPI# 1457681140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457681140 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LYNN DISIENA |
| Credential | PHARM. D |
| Practice Address |
1024 Broadway Thornwood Town Center Thornwood NY 10594-1133 |
| Mailing Address |
117 Garth Rd Apt. 5 D Scarsdale NY 10583-3753 |
| Practice Telephone | 9147690558 |
| Practice Fax Number | 9147732036 |
| Mailing Telephone | 5188795467 |
| Enumeration Date | 2010-01-03 |
| Last Update Date | 2010-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 053564-1 | NY | Pharmacy Service Providers |
| Street Address |
1024 BROADWAY THORNWOOD TOWN CENTER |
| City | THORNWOOD |
| State | NY |
| Zip Code | 10594-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952539082 | Rubab Basheer | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2009-06-26 |
| 1295216984 | Matthew Vore | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2018-08-22 |
| 1952812620 | David Calderon | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2017-10-20 |
| 1235451774 | Leanne M Graham | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073083093 | Elizabeth Huffaker | Nurse Practitioner | 30 Highland Road, Thornwood, NY 10594 | 2018-12-03 |
| 1255823126 | Ellen Patricia Huvane | Occupational Therapist | 103 Byron Road, Thornwood, NY 10594 | 2018-06-05 |
| 1134660145 | Towfiq Majumder | Pharmacist | 35 Kensico Road, Thornwood, NY 10594 | 2017-03-10 |
| 1134594161 | Pleasantville Ambulance Corps, Inc | Ambulance | 30 Gramercy Place, Thornwood, NY 10594 | 2015-12-02 |
| 1942495957 | Johanna Helen Prescott | Licensed Practical Nurse | 76 Witter Drive, Thornwood, NY 10594 | 2007-09-12 |
| 1902028426 | Willie M Butler | Licensed Practical Nurse | 501 Swanson Drive, Thornwood, NY 10594 | 2007-05-03 |
| 1215001854 | Thomas Gabriel Newman Jr. | Internal Medicine | 196 Nannyhagen Rd, Thornwood, NY 10594 | 2006-11-17 |
| 1396814950 | James A Dicicco | Dentist | 677 Commerce Street, Thornwood, NY 10594 | 2006-11-07 |
| 1609959121 | Nancy R Beran | Internal Medicine | 645 Marble Ave, Thornwood, NY 10594 | 2006-10-21 |
| 1871691428 | Cvs Albany LLC | Pharmacy | 1024 Broadway Thornwood Cntr, Thornwood, NY 10594 | 2006-09-20 |
| Find all providers in zip 10594 | ||||
| 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 |
|---|---|---|---|---|
| 1134660145 | Towfiq Majumder | Pharmacist | 35 Kensico Road, Thornwood, NY 10594 | 2017-03-10 |
| 1649502840 | Nocif Yamin | Pharmacist | 122 Milton Dr, Thornwood, NY 10594-1713 | 2010-02-12 |
| 1952539082 | Rubab Basheer | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2009-06-26 |
| 1033345749 | Richard Philippe Beauboeuf | Pharmacist | 660 Columbus Avenue, Thornwood, NY 10594-1909 | 2009-06-09 |
| 1295216984 | Matthew Vore | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2018-08-22 |
| 1093208522 | Peter Tang | Pharmacist | 35 Kensico Rd, Thornwood, NY 10594-1143 | 2018-06-09 |
| 1952812620 | David Calderon | Pharmacist | 1024 Broadway, Thornwood, NY 10594-1133 | 2017-10-20 |
| 1629488010 | Felicia Moodie | Pharmacist | 35 Kensico Rd, Thornwood, NY 10594-1143 | 2014-05-06 |
| 1023444387 | Pearl Maria Martis | Pharmacist | 660 Columbus Avenue, Thornwood, NY 10594 | 2013-09-18 |
| 1700211893 | Jane S Park | Pharmacist | 35 Kensico Rd, Walgreens, Thornwood, NY 10594-1143 | 2013-09-07 |
| Find all providers in THORNWOOD | ||||
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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.