Jack Mountain, PHARMD - Pharmacist in Providence, RI

Jack Mountain, PHARMD is a Pharmacist - Ambulatory Care based in Providence, Rhode Island. Jack Mountain is licensed to practice in Rhode Island (license number RPH06662) and his current practice location is 117 Chapman St Ste 200, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 444-9909.

NPI number for Jack Mountain is 1265111769 and his current mailing address is 1493 Cambridge St, Cambridge, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265111769.

Contact Information

Jack Mountain, PHARMD
117 Chapman St Ste 200,
Providence, RI 02905-5400
(401) 444-9909
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJack Mountain
GenderMale
SpecialityPharmacist - Ambulatory Care
Location117 Chapman St Ste 200, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265111769
  • Provider Enumeration Date: 07/13/2023
  • Last Update Date: 07/02/2024

Medical Identifiers

Medical identifiers for Jack Mountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265111769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PH241587 (Massachusetts)Secondary
1835P2201XPharmacist - Ambulatory Care RPH06662 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Mountain is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Mountain, PHARMD
1493 Cambridge St,
Cambridge, MA 02139-1099

Ph: (617) 655-1000
Jack Mountain, PHARMD
117 Chapman St Ste 200,
Providence, RI 02905-5400

Ph: (401) 444-9909

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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