MR. BRIAN MICHAEL PENDERGAST (NPI# 1922141035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922141035 |
| Entity Type | Individual |
| Full Name | MR. BRIAN MICHAEL PENDERGAST |
| Credential | RPH |
| Practice Address |
2 Hemingway Dr Riverside RI 02915 |
| Mailing Address |
2 Hemingway Dr Riverside RI 02915-2224 |
| Practice Telephone | 4014319020 |
| Practice Fax Number | 4014342026 |
| Mailing Telephone | 4014319020 |
| Mailing Fax Number | 4014342026 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3619 | RI | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Sandy Bottom Rd, Coventry, RI 028165863 | 4018210600 | 4018237808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851620405 | Brian J Pendergast | Counselor | 1200 Westlake Ave N, #901, Seattle, WA 98109-3543 | 2009-12-10 |
| Street Address |
2 HEMINGWAY DR |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188195 | Encompass Health Home Health of New England, LLC | Home Health | 2 Hemingway Dr, Riverside, RI 02915-2224 | 2019-01-23 |
| 1033577648 | Infusion Resource, LLC | Durable Medical Equipment & Medical Supplies | 2 Hemingway Dr, Riverside, RI 02915-2224 | 2016-02-10 |
| 1497011910 | Infusion Resource, LLC | Durable Medical Equipment & Medical Supplies | 2 Hemingway Dr, Riverside, RI 02915-2224 | 2012-04-10 |
| 1720390818 | Care Resource, LLC | Home Health | 2 Hemingway Dr, Riverside, RI 02915 | 2010-07-06 |
| 1982864815 | Care Resource, LLC | Home Infusion | 2 Hemingway Dr, Suite 100, Riverside, RI 02915-2224 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| 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 |
|---|---|---|---|---|
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1740816701 | Joo Hye Lee | Pharmacist | 12010 Cortona Pl, Riverside, CA 92503-9736 | 2020-03-20 |
| 1154960037 | Minh Anh Nguyen | Pharmacist | 5360 Van Buren Blvd Apt 122, Riverside, CA 92503-2610 | 2019-12-25 |
| 1083250385 | Niyati Butala | Pharmacist | 9990 County Farm Rd Ste 2, Riverside, CA 92503-3542 | 2019-11-21 |
| 1760038988 | Li-wun Chu | Pharmacist | 8207 Arlington Ave Ste A, Riverside, CA 92503-0429 | 2019-08-13 |
| 1609421858 | Michael Aja | Pharmacist | 10550 Orchard View Ln, Riverside, CA 92503-6604 | 2019-08-05 |
| 1215597083 | Huyen Le Pham | Pharmacist | 2259 Keepsake Ct, Riverside, CA 92503-0637 | 2019-06-14 |
| 1588229447 | Glenn Jabaay | Pharmacist | 51 E Burlington St Ste C, Riverside, IL 60546-2124 | 2019-05-07 |
| 1538622782 | Sung Jin | Pharmacist | 4234 Riverwalk Pkwy Ste 130, Riverside, CA 92505-3304 | 2019-04-12 |
| Find all providers in RIVERSIDE | ||||
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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.