Provider Demographics
NPI:1265133052
Name:ALBANESE, SARAH G (PHARMD, BCGP)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:G
Last Name:ALBANESE
Suffix:
Gender:F
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-3223
Mailing Address - Country:US
Mailing Address - Phone:401-829-5767
Mailing Address - Fax:
Practice Address - Street 1:245 CHAPMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4539
Practice Address - Country:US
Practice Address - Phone:401-444-3724
Practice Address - Fax:401-606-4028
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15215183500000X, 1835G0303X
RIRPH058791835G0303X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARPD15215OtherPHARMACIST LICENSE
RIRPH05879OtherPHARMACIST LICENSE
99108746OtherBOARD OF PHARMACY SPECIALTIES - BOARD CERTIFIED GERIATRIC PHARMACIST