NICOLE GONZALEZ (NPI# 1639797566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639797566 |
Entity Type | Individual |
Full Name | NICOLE GONZALEZ |
Credential | PHARMD |
Practice Address |
55 Park St New Haven CT 06511-5474 |
Mailing Address |
111 Park St Apt 14u New Haven CT 06511-5464 |
Practice Telephone | 2032140670 |
Mailing Telephone | 9548068540 |
Enumeration Date | 2020-07-07 |
Last Update Date | 2020-07-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0015201 | CT | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851909980 | Nicole Marie Gonzalez | Specialist/Technologist | 2421 E Aragon Blvd Unit 6, Sunrise, FL 33313-8051 | 2020-07-15 |
1881157782 | Nicole Marie Gonzalez | Dentist | Urb Parkside B-8, Calle Parkside 4, Guaynabo, PR 00968-3341 | 2019-04-09 |
1396283610 | Nicole Gonzalez | Speech-Language Pathologist | 13161 Sw 23rd Street, Miami, FL 33175-5827 | 2017-02-07 |
1225571441 | Nicole Gonzalez | Occupational Therapist | 200 Ford Rd Spc 51, San Jose, CA 95138-1520 | 2016-11-19 |
1861942617 | Nicole Marie Gonzalez | Social Worker | 30 Calle Carite, Urbanizacion Lago Alto, Trujillo Alto, PR 00976 | 2016-10-05 |
1265049019 | Nicole Gonzalez | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2020-09-25 |
1700421294 | Nicole Gonzalez | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2019-11-08 |
1306481841 | Nicole Gonzalez | Behavior Technician | 501 E Harvard St, Glendale, CA 91205-1114 | 2019-11-07 |
1376195438 | Nicole Marie Gonzalez | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2019-07-09 |
1356904338 | Nicole Gonzalez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-04-16 |
Street Address |
55 PARK ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-5474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124626973 | Monica Fahmy | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-10-14 |
1760080675 | Jonathan Worley | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-10-13 |
1619589280 | Pegah Shakeraneh | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-17 |
1033720669 | Megan Trombi | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-17 |
1720698244 | Melissa Chinn | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-10 |
1639789951 | Bobbi Jo Loflin | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-01 |
1497378590 | Ahrang Yoo | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-05-22 |
1467083543 | Saman Mirzaei | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-01-28 |
1356985477 | Michael Anthony Ruggero | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-10-31 |
1689216806 | Joseph Vincent Rosano | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
Find all providers in zip 06511 |
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 |
---|---|---|---|---|
1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
1225697865 | Kristin Waters | Pharmacist | 55 York St, New Haven, CT 06511-5653 | 2019-06-07 |
1760080675 | Jonathan Worley | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-10-13 |
1619589280 | Pegah Shakeraneh | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-17 |
1720698244 | Melissa Chinn | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-10 |
1053933226 | Giulia Conley | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-05-11 |
1467083543 | Saman Mirzaei | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-01-28 |
1356985477 | Michael Anthony Ruggero | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-10-31 |
1457907669 | Adina Elena Petrosan | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-08-13 |
1073167714 | Eric Cabie | Pharmacist | Yale New Haven Hospital, 55 Park Street, New Haven, CT 06511 | 2019-07-31 |
Find all providers in NEW HAVEN |
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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.