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JACK MOUNTAIN PHARMD
NPI 1265111769
Pharmacist - Ambulatory Care in Providence, RI

Active since July 13, 2023
117 CHAPMAN ST STE 200, PROVIDENCE, RI 02905(401) 444-9909 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2024, Jul 13, 2023 (2 updates tracked since 2023).

About Jack Mountain Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK MOUNTAIN PHARMD (NPI 1265111769) is an individual ambulatory care provider in Providence, Rhode Island, licensed in Rhode Island (RPH06662) and active in the NPI registry since July 2023. He maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1265111769
Entity TypeIndividualMale
Primary Taxonomy1835P2201X
Provider Legal NameJACK MOUNTAINCredential: PHARMD
Location Address117 CHAPMAN ST STE 200Providence, RI 02905-5400
Mailing Address1493 Cambridge StCambridge, MA 02139-1099 · (617) 655-1000
Phone(401) 444-9909
Sole ProprietorNo
Enumeration DateJuly 13, 2023
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1265111769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in RI · RPH06662
Definition
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.
Also ListedPharmacistTaxonomy 183500000X · License PH241587 (MA)
117 CHAPMAN ST STE 200, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Location 1

Location 11493 Cambridge StCambridge, MA 02139-1099 · Phone (617) 665-1000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL D DUPREY JR. PHARMD
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 606-1183
KAITLYN POULIOT
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
ALISSA M MARGRAF PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
LIFESPAN PHARMACY, LLC
Home Infusion
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
KENNETH JUDSON WAGG RPH
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
JAMIE COGHLAN PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
LYDIA MASKELL PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
DR. LYNDSEY E GARDE PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mountain's NPI number?

The NPI number for Jack Mountain is 1265111769. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Jack Mountain located?

Jack Mountain practices at 117 Chapman St Ste 200, Providence, RI 02905. The listed phone number is (401) 444-9909.

What is Jack Mountain's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Jack Mountain was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.