Alesa Yevgenyevna Campbell
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

Address: 111 E 210th St, Bronx, NY 10467-2401
Phone: 7189204229

Alesa Yevgenyevna Campbell (NPI# 1013530260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013530260
Entity Type Individual
Full Name Alesa Yevgenyevna Campbell
Credential PHARMD
Gender Female
Practice Address 111 E 210th St
Bronx
NY 10467-2401
Practice Telephone 7189204229
Mailing Address 111 E 210th St
Bronx
NY 10467-2401
Mailing Telephone 7189204229
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-05-22
Last Update Date 2020-05-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1835P0018X Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacy Service Providers 058557 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 058557 OTHER REGISTERED PHARMACIST

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427577048 Fawzieh Mourtada Pharmacist Rite Aid, 540 West 235th Street, Bronx, NY 10643 2017-09-14
1518291087 Chidiebere Betran Aballa Pharmacist 563 East . Tremont Ave., Best Aid Pharmacy, Bronx, NY 10450 2009-09-30
1124628755 Eka Beriashvili Pharmacist 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-11-01
1912506676 Debra Willner Pharmacist 4422 3rd Ave, Bronx, NY 10457-2545 2020-10-22
1356951594 Lendelle Raymond Pharmacist 1650 Grand Concourse, Bronx, NY 10457-7606 2020-08-03
1548879463 Jessica Monica Pitcairn Pharmacist 1650 Grand Concourse, Bronx, NY 10457-7606 2020-07-27
1427667633 Myroslava Sharabun Pharmacist 1650 Grand Concourse, Bronx, NY 10457-7606 2020-07-24
1669029807 Victor Chen Pharmacist 1825 Eastchester Rd, Bronx, NY 10461-2301 2019-08-22
1750868972 Muhammad Tahhur Mir Pharmacist 306 E 149th St, Bronx, NY 10451-5602 2018-07-20
1639566813 Angela Gandolfa Giovanniello Pharmacist 305 E 161st St, Chcc- Montefiore Medical Group, Bronx, NY 10451-3535 2015-04-25
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Office Location

Street Address 111 E 210TH ST
City BRONX
State NY
Zip Code 10467-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083619373 Caletha Dicks Nurse Anesthetist, Certified Registered 111 E 210th St, Bronx, NY 10467-2401 2005-06-14
1114521077 Angeline Tang Internal Medicine 111 E 210th St, Bronx, NY 10467-2401 2020-11-22
1124629118 Ali Liakat Pharmacist 111 E 210th St, Bronx, NY 10467-2401 2020-11-05
1225639347 Michael Boadu Pharmacist 111 E 210th St, Bronx, NY 10467-2401 2020-11-04
1770183501 Michelle Marsalisi Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2020-10-30
1598364606 Denise Sarah Dailey Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-20
1619574167 Amina Khan Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-07
1043817679 Farzaneh Hosein Khezri Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-06
1366049330 Shafaq Zaman Tarar Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-10-02
1972110450 Assi Milwidsky Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2020-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Competitor

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City BRONX
Zip Code 10467

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Dataset Information

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.