ANNAS AL-KALAK (NPI# 1932621463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932621463 |
| Entity Type | Individual |
| Full Name | ANNAS AL-KALAK |
| Practice Address |
839 Farmington Ave Bristol CT 06010-3922 |
| Mailing Address |
67 Evergreen Ave Apt B5 Hartford CT 06105-3156 |
| Practice Telephone | 8605828167 |
| Mailing Telephone | 2039092627 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0013607 | CT | Pharmacy Service Providers |
| Street Address |
839 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114021011 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 839 Farmington Ave, Bristol, CT 06010-3922 | 2006-09-12 |
| 1649892274 | Katherine Miciak | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2020-05-18 |
| 1386272045 | Josephine Nguyen | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2020-03-30 |
| 1497315956 | Jena Mitchell | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2019-06-17 |
| 1235630344 | Chantell Smith | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2018-02-23 |
| 1427599349 | April Bontempo | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010 | 2017-03-10 |
| 1346695152 | Shane Patrick Kelly | Pharmacist | 839 Farmington Ave, Bristol, CT 06010-3922 | 2016-04-29 |
| 1386063840 | Siama M Ramlogan | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010 | 2014-04-14 |
| 1881944924 | Elena Valentinovna Zhakov | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2012-09-17 |
| 1295965481 | Manhouly Phouthachack | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| 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 |
|---|---|---|---|---|
| 1073113791 | Jamie Lester | Pharmacist | 21531 Market Ctr, Bristol, VA 24202-1808 | 2020-10-30 |
| 1699281113 | Mythili Tarala | Pharmacist | 54 Bonnie Ct, Bristol, CT 06010-5994 | 2017-12-19 |
| 1750897666 | Ray Mcclellan Massengill IIi | Pharmacist | 15767 Monticello Dr, Bristol, VA 24202-4113 | 2017-12-15 |
| 1740703065 | Robert Christopher Isner Jr. | Pharmacist | 430 N Main St Ste A, Bristol, CT 06010-4117 | 2017-07-18 |
| 1033647755 | Alyssa Emily Capuano | Pharmacist | 2 Betsy Dr, Bristol, RI 02809-4552 | 2017-05-24 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1215324611 | George Le | Pharmacist | 90 Maheu St, Bristol, CT 06010-3049 | 2015-04-23 |
| 1457783490 | Amber Lynn Schreiner | Pharmacist | 1 Prince Ln, Bristol, VT 05443-1224 | 2013-08-01 |
| 1306282884 | Penni Anne Cheatle | Pharmacist | 160 Indiana St, Bristol, CT 06010-9138 | 2013-05-10 |
| 1932451473 | Katrina A Yoder | Pharmacist | 300 E Elkhart St, Bristol, IN 46507-9205 | 2012-10-08 |
| Find all providers in BRISTOL | ||||
Please comment or provide details below to improve the information on ANNAS AL-KALAK.
| 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.