Doctor Name: | DR. LILLIAN NIEVES |
NPI Number: | 1255733507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | RPH4479 |
Business Practice Address: | 77 Shickasheen Way West Kingston, RI - 028921813 |
Business Phone Number: | 4015857069 |
Business Fax Number: | 4017838503 |
Mailing Address: | 77 Shickasheen Way, Po Box 194 WEST KINGSTON |
State: | RI |
Postal Code: | 02892 |
Phone Number: | 4015857069 |
Fax Number: | 4017838503 |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | RPH4479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy 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. |