A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Ambulatory Care | 1835P2201X |
| Pediatrics | 1835P0200X | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X |
* Indicates primary specialty
| NPI Number | 1679056089 |
| Credentials | PHARM.D. (Doctor of Pharmacy) |
| Entity | Individual |
| Enumeration date | 09/11/2018 |
| Last updated | 08/29/2025 - About 9 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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