Healthcare Provider Details

I. General information

NPI: 1265133052
Provider Name (Legal Business Name): SARAH G ALBANESE PHARMD, BCGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 CHAPMAN ST
PROVIDENCE RI
02905-4539
US

IV. Provider business mailing address

34 SEYMOUR AVE
CRANSTON RI
02910-3223
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-3724
  • Fax: 401-606-4028
Mailing address:
  • Phone: 401-829-5767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD15215
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRPH05879
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPD15215
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH05879
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: