Kristen Ann Iannuccilli, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH03945 Issued in RI

Practice address

2100 Highland Corporate Dr Ste 200
Cumberland, RI 02864-8703

Phone

(866) 799-5830

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1598437030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # MC8111",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956195",
            "telephone_number": "401-772-4210",
            "fax_number": "401-262-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND CORPORATE DR STE 200",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028648703",
            "telephone_number": "866-799-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUCCILLI",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "RI",
            "license": "RPH03945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homecare New England LLC
• Janet Hook, MS, RD
• John Tyler Hoolahan, PHARM.D.
• Zachary Hopkins, PHARMD
• Mary Grant Houlihan, RN
• Suhaila Ibrahim
• Benedict Joseph Ingegneri Jr., DMD
• David Winston Ingle, PSY.D.
• Mihaela Iovanel, MD
• Farid A Irshad, PA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.