JACOB BOOTH (NPI# 1740706191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740706191 |
| Entity Type | Individual |
| Full Name | JACOB BOOTH |
| Credential | PHARMD |
| Practice Address |
1504 Northampton St Holyoke MA 01040-1938 |
| Practice Telephone | 4135337983 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH237595 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038537 | Jacob Booth | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-06-22 |
| 1326584871 | Jacob Booth | Occupational Therapist | 3000 Goffs Falls Rd, Suite 101, Manchester, NH 03111-1000 | 2017-01-09 |
| Street Address |
1504 NORTHAMPTON ST |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629238803 | Suzanne Stanczak | Pharmacist | 1504 Northampton St, Holyoke, MA 01040-1938 | 2008-06-11 |
| 1740737451 | Karen M Weber | Pharmacist | 1504 Northampton St, Holyoke, MA 01040-1938 | 2016-09-10 |
| 1942605423 | Erika Andrades | Pharmacist | 1504 Northampton St, Holyoke, MA 01040-1938 | 2014-10-27 |
| 1679862247 | Elena A Massa | Pharmacist | 1504 Northampton St, Holyoke, MA 01040-1938 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| 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 |
|---|---|---|---|---|
| 1427466929 | Kimberly Gelonese | Pharmacist | 1504 N Hampton St, Holyoke, MA 01040-1938 | 2014-07-28 |
| 1063734929 | David Mark Baker | Pharmacist | 2203 Northampton St, Holyoke, MA 01040-3447 | 2010-02-19 |
| 1629238803 | Suzanne Stanczak | Pharmacist | 1504 Northampton St, Holyoke, MA 01040-1938 | 2008-06-11 |
| 1427181213 | Craig A Miklasiewicz | Pharmacist | 506 Westfield Rd, Holyoke, MA 01040-1633 | 2007-03-13 |
| 1780284166 | Julise Lavern Marsh | Pharmacist | 230 Maple St, Holyoke, MA 01040-5144 | 2020-10-27 |
| 1164029880 | Carlos Echevarria Maldonado | Pharmacist | 230 Maple St, Holyoke, MA 01040-5144 | 2020-10-06 |
| 1639783871 | Maxime Langlois | Pharmacist | 230 Maple St Ste 1, Holyoke, MA 01040-5140 | 2020-09-04 |
| 1518571942 | Angela Marie Maggio | Pharmacist | 1588 Northampton St, Holyoke, MA 01040-1992 | 2020-09-02 |
| 1558975375 | Jeffrey Rovatti Jr. | Pharmacist | 1588 Northampton St, Holyoke, MA 01040-1949 | 2020-08-31 |
| 1720604234 | Loni Maciver | Pharmacist | 575 Beech St, Holyoke, MA 01040-2223 | 2020-06-20 |
| Find all providers in HOLYOKE | ||||
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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.