DR. KENNY CORREIA (NPI# 1588893895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588893895 |
| Entity Type | Individual |
| Full Name | DR. KENNY CORREIA |
| Credential | PHARMD, CDOE, CVDOE |
| Practice Address |
1 Hoppin St Ste 3 Anchor Medical Providence RI 02903-4141 |
| Practice Telephone | 4017938400 |
| Practice Fax Number | 4017938402 |
| Mailing Telephone | 4017938400 |
| Mailing Fax Number | 4017938402 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH04819 | RI | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH04819 | RI | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH232913 | MA | Pharmacy Service Providers |
| Street Address |
1 HOPPIN ST STE 3 ANCHOR MEDICAL |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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 |
|---|---|---|---|---|
| 1114243086 | Felix Baez | Pharmacist | 35 Messina St, Providence, RI 02908-1613 | 2010-04-15 |
| 1851926364 | Charles Agwunobi | Pharmacist | 1017 Smith St, Providence, RI 02908-2747 | 2020-03-04 |
| 1104172758 | Amy Pitt | Pharmacist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-08-01 |
| 1942576152 | Maylee Chen Satterfield | Pharmacist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-04-02 |
| 1912213232 | Christina Tat | Pharmacist | 830 Chalkstone Avenue, Providence, RI 02908-4799 | 2010-08-24 |
| 1649582453 | Ruth Dapaah-afriyie | Pharmacist | 593 Eddy St, Providence, RI 02903-4923 | 2010-07-09 |
| 1720227283 | Eric Paul Sutherland | Pharmacist | 830 Chalkstone Ave, Va Medical Center, Providence, RI 02908 | 2009-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619103 | Todd Estus | Pharmacist | 71 Paul Ave, Wakefield, RI 02879-1504 | 2020-11-04 |
| 1255733507 | Lillian Nieves | Pharmacist | 77 Shickasheen Way, West Kingston, RI 02892-1813 | 2014-09-18 |
| 1730447293 | Celia Macdonnell | Pharmacist | 13 Mccormick Rd, Newport, RI 02840-4313 | 2012-05-02 |
| 1134403496 | Angelica Rosemary Lupo | Pharmacist | 5 Tartaglia St, Johnston, RI 02919-5929 | 2011-10-05 |
| 1154928661 | Cassandra Couture | Pharmacist | 1123 Boston Neck Rd, Narragansett, RI 02882-1734 | 2020-10-07 |
| 1134773310 | Brianna Katherine Kimball | Pharmacist | 1150 New London Ave, Cranston, RI 02920-3036 | 2019-07-26 |
| 1144887118 | Julie Barber | Pharmacist | 25 Wells St, Westerly, RI 02891-2934 | 2019-05-24 |
| 1972160257 | Lani Kai Ritter | Pharmacist | 25 Wells St, Westerly, RI 02891-2922 | 2019-05-22 |
| 1538659289 | Melissa Agonia | Pharmacist | 639 Metacom Ave, Warren, RI 02885 | 2018-05-17 |
| 1770878696 | Julia E Manning | Pharmacist | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on DR. KENNY CORREIA.
| 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.