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: July 19, 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.Information from the official NPPES registry record.

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
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

Secondary Practice Location 1

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

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265111769, enumerated as an "individual" on July 13, 2023.

The provider is located at 117 CHAPMAN ST STE 200 PROVIDENCE, RI 02905 and the phone number is (401) 444-9909.

Pharmacist with taxonomy code 1835P2201X and a focus in Ambulatory Care.