DR. JASMINE WILSON (NPI# 1740836410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740836410 |
| Entity Type | Individual |
| Full Name | DR. JASMINE WILSON |
| Credential | PHARMD |
| Practice Address |
112 Amity Rd New Haven CT 06515-1405 |
| Mailing Address |
72 Speno Rdg Rocky Hill CT 06067-2834 |
| Practice Telephone | 2033898863 |
| Mailing Telephone | 8608606603 |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0014947 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323578 | Jasmine Wilson | Behavior Technician | 7936 S Constance Ave, Chicago, IL 60617-1025 | 2020-07-21 |
| 1588298061 | Jasmine Wilson | Behavior Technician | 12369 Sw 218th St, Miami, FL 33170-2843 | 2020-02-24 |
| 1871153437 | Jasmine Jenivieve Wilson | Registered Nurse | 2926 Hering Ave, Bronx, NY 10469-5217 | 2019-06-17 |
| 1710466214 | Jasmine Patterson Wilson | Audiologist | 114 Morlake Dr Ste 101a, Mooresville, NC 28117-9209 | 2018-08-07 |
| 1215578745 | Jasmine Wilson | Counselor | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2019-10-07 |
| 1588210512 | Jasmine K Wilson | Social Worker | 4615 Government St Bldg 1, Baton Rouge, LA 70806-5922 | 2019-08-15 |
| 1891353603 | Jasmine Nicole Wilson | Behavior Technician | 12731 Marblestone Dr Ste 101, Woodbridge, VA 22192-8334 | 2019-06-05 |
| 1881157774 | Jasmine Wilson | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-04-09 |
| 1114497617 | Jasmine Denise Wilson | Social Worker | 950 Norton St, Rochester, NY 14621-3732 | 2018-11-28 |
| 1356824213 | Jasmine Nicole Wilson | Internal Medicine | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2018-09-07 |
| Street Address |
112 AMITY RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898479 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 112 Amity Rd, New Haven, CT 06515-1405 | 2006-07-07 |
| 1730739897 | Tyler Powers | Pharmacist | 112 Amity Rd, New Haven, CT 06515-1405 | 2019-09-19 |
| 1174018311 | Manish Garg | Pharmacist | 112 Amity Rd, New Haven, CT 06515-1405 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| 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 |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1487212635 | Brittany Clarissa Langdon | Pharmacist | 1450 Chapel St Rm V140n, New Haven, CT 06511-4405 | 2019-06-03 |
| 1841704277 | Daniela Alzate-molina | Pharmacist | 249 Legion Ave, New Haven, CT 06519-5508 | 2017-11-21 |
| 1639694698 | Sunil Kumar Tickoo | Pharmacist | Berneys Pharmacy, 615 Howard Ave, New Haven, CT 06519-2112 | 2017-08-10 |
| 1265893143 | Leon Cushman | Pharmacist | 1168 Whalley Ave, New Haven, CT 06515-1705 | 2016-03-18 |
| 1871997627 | Bhumi Patel | Pharmacist | 44 Orange St, Apt 523, New Haven, CT 06510-3130 | 2014-10-22 |
| 1356612634 | David Eld | Pharmacist | 55 Park Street, Suite 1a, New Haven, CT 06511 | 2012-01-19 |
| 1780954719 | Rebecca Reeve | Pharmacist | 53 Park St, New Haven, CT 06511-5474 | 2012-01-06 |
| 1841568441 | Pamela Cavallo | Pharmacist | 55 Park St., New Haven, CT 06511 | 2011-12-09 |
| 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.