Healthcare Provider Details

I. General information

NPI: 1992850127
Provider Name (Legal Business Name): AISHA GERMAINE ASHRAF PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 CHAPMAN ST STE 300
PROVIDENCE RI
02905-4539
US

IV. Provider business mailing address

245 CHAPMAN ST STE 300
PROVIDENCE RI
02905-4539
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-4741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH04628
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14774
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH04628
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: