Individual provider Active NPI

Jaime Dore, PHARMD

  • Pharmacist
  • Fall River, MA
National Provider Identifier
1104412527
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH26049 Issued in MA
Practice address
333 Mariano Bishop Blvd
Fall River, MA 02721-2349
Phone
(508) 675-0887
NPI assigned
Dec 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH26049 MA Primary

Addresses

Primary practice location

333 Mariano Bishop Blvd
Fall River, MA 02721-2349

Mailing address

20 Rebecca Rd
Dartmouth, MA 02748-1167
Phone (508) 954-7174

Other identifiers 1

IdentifierTypeStateIssuer
242706OtherNABP

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Jaime.dore@stopandshop.com Direct
Direct Messaging Address Jaime.dore@stopandshop.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH26049MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stop & Shop Supermarket Company, LLC PastSince Dec 27, 2020 Accepting new patients
Stop and Shop Supermarket Co LLC PastSince Dec 27, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jaime.dore@stopandshop.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1104412527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 REBECCA RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027481167",
            "telephone_number": "508-954-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MARIANO BISHOP BLVD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212349",
            "telephone_number": "508-675-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "JAIME",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH26049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "242706",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jaime.dore@stopandshop.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "333 Mariano Bishop Blvd",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027212349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jaime.dore@stopandshop.com",
            "affiliation": "N",
            "address_1": "333 Mariano Bishop Blvd",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027212349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.