Active NPI
Jessica Reall, RPH
- Ambulatory Care Pharmacist
- Providence, RI
National Provider Identifier
1710277355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 4151
- Practice address
- 117 Chapman St Ste 200
Providence, RI 02905-5400 - Phone
- (401) 444-9909
- Fax
- (401) 444-4095
- NPI assigned
- Apr 16, 2011
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 4151 | RI | Primary |
Addresses
Primary practice location
117 Chapman St Ste 200
Providence, RI 02905-5400
Mailing address
179 Pomona St
North Smithfield, RI 02896-8181
Phone (401) 597-5810
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4151 | RI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1710277355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 POMONA ST",
"city": "NORTH SMITHFIELD",
"state": "RI",
"postal_code": "028968181",
"telephone_number": "401-597-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 CHAPMAN ST STE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055400",
"telephone_number": "401-444-9909",
"fax_number": "401-444-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REALL",
"first_name": "JESSICA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-16",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "RI",
"license": "4151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.