JENNIFER MARIE DOMINGUEZ (NPI# 1619268000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619268000 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE DOMINGUEZ |
| Credential | RPH |
| Practice Address |
232 Main St Gardner MA 01440-2927 |
| Mailing Address |
10 Elmwood Rd Winchendon MA 01475-1211 |
| Practice Telephone | 9786302808 |
| Practice Fax Number | 9786302065 |
| Mailing Telephone | 9782971729 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 24511 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285192138 | Jennifer Jane Dominguez | Social Worker | 1314 D St, Floresville, TX 78114-2316 | 2019-03-11 |
| 1689273179 | Jennifer Dominguez | Nurse's Aide | 70 S River St, Aurora, IL 60506-5185 | 2020-10-26 |
| 1588036347 | Jennifer Dominguez | Physician Assistant | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2015-10-20 |
| 1972931335 | Jennifer Dominguez | Case Manager/Care Coordinator | 100 Prison Rd, Represa, CA 95671-0066 | 2013-10-23 |
| 1417229899 | Jennifer Dominguez | Counselor | 8407 S Vermont Ave, Los Angeles, CA 90044-3423 | 2012-02-01 |
| 1487803490 | Jennifer Dominguez | Anesthesiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-09-15 |
| Street Address |
232 MAIN ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872203 | Timothy Thebeau | Pharmacist | 232 Main St, Gardner, MA 01440-2927 | 2020-08-23 |
| 1689190936 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 232 Main St, Gardner, MA 01440-2927 | 2017-08-18 |
| 1982074753 | Kellie Martel | Pharmacist | 232 Main St, Gardner, MA 01440-2927 | 2015-10-05 |
| 1205278660 | Megan Moncecchi | Pharmacist | 232 Main St, Gardner, MA 01440-2927 | 2013-07-25 |
| 1174816961 | Catherine Marie Hoover | Pharmacist | 232 Main St, Gardner, MA 01440-2927 | 2011-05-26 |
| 1588862494 | Sarah Leonard | Family Medicine | 232 Main St, Gardner, MA 01440-2927 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| 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 |
|---|---|---|---|---|
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1720387962 | Kristine Marie Bissonnette | Pharmacist | 52 Pearson Blvd, Gardner, MA 01440-3947 | 2011-03-25 |
| 1023619830 | Azkia Mujeeb | Pharmacist | 750 E Main St, Gardner, KS 66030-1744 | 2020-11-06 |
| 1598365348 | John Sugrue | Pharmacist | 677 Timpany Blvd, Gardner, MA 01440-3452 | 2020-10-30 |
| 1164022539 | Joshua Robert Paine | Pharmacist | 677 Timpany Blvd, Gardner, MA 01440-3452 | 2020-10-27 |
| 1881294262 | Bethany Reid | Pharmacist | 677 Timpany Blvd, Gardner, MA 01440-3452 | 2020-10-27 |
| 1871100784 | Steven Moll | Pharmacist | 750 E Main St, Gardner, KS 66030-1744 | 2020-09-24 |
| 1629685532 | Adam Scott Asher | Pharmacist | 750 E Main St, Gardner, KS 66030-1744 | 2020-09-24 |
| 1578177358 | Elizabeth Mayer | Pharmacist | 1725 E Santa Fe St, Gardner, KS 66030-1657 | 2020-08-31 |
| Find all providers in GARDNER | ||||
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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.