DR. KATHLEEN MARY MELBOURNE (NPI# 1538152822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152822 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MARY MELBOURNE |
| Credential | PHARM.D. |
| Practice Address |
400 Reservoir Ave Suite 1d Coastal Medical Providence RI 02907-3565 |
| Mailing Address |
50 Morris St Warwick RI 02889-3426 |
| Practice Telephone | 4017812400 |
| Practice Fax Number | 4017812687 |
| Mailing Telephone | 4017390176 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 183500000X | Pharmacist | RPH03595 | RI | Pharmacy Service Providers |
| X | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH03595 | RI | Pharmacy Service Providers |
| Street Address |
400 RESERVOIR AVE SUITE 1D COASTAL MEDICAL |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023481561 | The Wellness Center Ri, LLC | Community/Behavioral Health | 400 Reservoir Ave, Suite 2k, Providence, RI 02907-3565 | 2015-11-05 |
| 1053537464 | Cityline Dental Inc. | Dentist | 400 Reservoir Ave, Suite 3d, Providence, RI 02907-3565 | 2007-04-17 |
| 1053433730 | Haigh Ventures, Inc | Home Health | 400 Reservoir Ave, Suite Ll - J, Providence, RI 02907-3565 | 2007-04-04 |
| 1043345226 | Michael C Furia | Dentist | 400 Reservoir Ave, Suite 3d, Providence, RI 02907 | 2007-02-21 |
| 1073655379 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 400 Reservoir Ave, Providence, RI 02907-3565 | 2007-02-13 |
| 1326139023 | Capitol Home Care Network Inc | Home Health | 400 Reservoir Ave, Suite L-ln, Providence, RI 02907-3565 | 2006-09-27 |
| 1831101989 | David Anthony Pezzullo | Dentist | 400 Reservoir Ave, Suite 3e, Providence, RI 02907 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| 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 | 02907 |
Please comment or provide details below to improve the information on DR. KATHLEEN MARY MELBOURNE.
| 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.