JILLIAN MCGOVERN (NPI# 1497177661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497177661 |
| Entity Type | Individual |
| Full Name | JILLIAN MCGOVERN |
| Other Name | JILLIAN HAWKINS |
| Credential | PHARMD |
| Practice Address |
900 Washington Rd West Point NY 10996-1109 |
| Mailing Address |
211 Barry Rd Apt E West Point NY 10996-1141 |
| Practice Telephone | 8459382343 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 22173 | NC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH024512 | GA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH024512 | GA | Pharmacy Service Providers |
| Street Address |
900 WASHINGTON RD |
| City | WEST POINT |
| State | NY |
| Zip Code | 10996-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525695 | Don B Blakeslee | Otolaryngology | 900 Washington Rd, West Point, NY 10996-1109 | 2005-08-15 |
| 1164069191 | Jessica Lynn Guglielmo | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-10 |
| 1104463090 | Patricia Ruth Gwynn | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-10 |
| 1265079594 | Mariefel Casino Paqueo | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-05 |
| 1467003061 | Kristen Midori Omi | Optometrist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-25 |
| 1356992390 | Ava Hwa Lan | Pharmacist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-20 |
| 1356901474 | Tyler Amores | Physician Assistant | 900 Washington Rd, West Point, NY 10996-1109 | 2019-06-20 |
| 1306321575 | Courtney Millen | Dietitian, Registered | 900 Washington Rd, West Point, NY 10996-1109 | 2018-10-03 |
| 1063912475 | Katherine Lynn Lukianoff | Nurse Practitioner | 900 Washington Rd, West Point, NY 10996-1109 | 2018-02-13 |
| 1710401054 | Adam Michael Barga | Physical Therapist | 900 Washington Rd, West Point, NY 10996-1109 | 2017-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838821 | Alexander Clifford Lane | Specialist/Technologist | 700 Mills Road, West Point, NY 10996 | 2018-10-25 |
| 1912182080 | Linda A Terribile | Licensed Practical Nurse | 900 Washington Road, Keller Army Community Hospital, West Point, NY 10996 | 2008-01-08 |
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1639244718 | Edward Michael Falta | Surgery | Building 900, Washington Road, West Point, NY 10996 | 2006-11-22 |
| 1902989452 | Donna Wiener-levy | Psychologist | Us Military Academy, Scott Barracks, Building 735, 51st Division, West Point, NY 10996 | 2006-10-20 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1932151024 | Lucille Catherine Larney | Psychologist | Kach Behavioral Health Clinic, Bldg 606-3m, West Point, NY 10996 | 2006-05-17 |
| 1669423315 | Thorpe Clarke Whitehead | Dentist | Saunders Dental Clinic, 646 Swift Creek Road, West Point, NY 10996 | 2006-05-15 |
| 1205891876 | Nancy G Brown | Physical Therapist | Washington Rd, Keller Army Community Hospital, West Point, NY 10996 | 2006-04-18 |
| Find all providers in zip 10996 | ||||
| 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 |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 10996 |
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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.