Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023627536 Individual Practitioner Female Practitioner

Dr. Diane Kenameh-Nteinmusi Ayuninjam , PharmD, MPH

Pharmacist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Diane Ayuninjam, PharmD, MPH is a registered healthcare professional specializing in Pharmacist in Providence, RI. Practice services are available at 180 CORLISS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

180 Corliss St

Providence, RI 029042602

Telephone 4017934582

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Providence, RI (1049 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NC 29785

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

State License RI RPH06491

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Amy Brotherton , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1124729298

Doctor of Pharmacy (Pharm.D.)

Madelynn Orellana

Nurse Practitioner - Family

NPI 1548854714
Dr. Ann-Marie Coroniti , PharmD

Pharmacist - Ambulatory Care

NPI 1831890656

Doctor of Pharmacy (Pharm.D.)

Emily Hopkins , RDN LDN

Dietitian, Registered

NPI 1851118715

RDNLDN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 15, 2023

Registered at 180 CORLISS ST, PROVIDENCE, RI 029042602 (Tel: 4017934582)

📍
Updated Business Mailing Address March 15, 2023

Registered at 180 CORLISS ST, PROVIDENCE, RI 029042602 (Tel: 4017934582)

👤
Provider Name / Credentials Updated March 15, 2023

Recorded as DIANE AYUNINJAM, PHARMD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Pharmacist (License #RPH06491 in RI)

NPI Profile Active July 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2020

Registered at 10407 FALCON PARC BLVD APT 206, ORLANDO, FL 328325560 (Tel: 3366025105)

📍
Updated Business Mailing Address July 30, 2020

Registered at 10407 FALCON PARC BLVD APT 206, ORLANDO, FL 328325560 (Tel: 3366025105)

👤
Provider Name / Credentials Updated July 30, 2020

Recorded as DIANE AYUNINJAM, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2020

Pharmacist (License #29785 in NC)

🟢
Initial NPI Registration & Enumeration July 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023627536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2020
Last Update: March 15, 2023
Sole Proprietor: No

Mailing Address

180 Corliss St

Providence, RI 029042602

Phone: 4017934582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.