Provider Demographics
NPI:1619570330
Name:ASHNESS, THERESA (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:ASHNESS
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-3519
Mailing Address - Country:US
Mailing Address - Phone:401-846-7800
Mailing Address - Fax:401-847-7016
Practice Address - Street 1:181 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-3989
Practice Address - Country:US
Practice Address - Phone:401-846-7800
Practice Address - Fax:401-847-7016
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH038791835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist