Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Mountain, PHARMD

Individual provider Pharmacist · NPI 1265111769

Jack Mountain, PHARMD is a Pharmacist in Providence, Rhode Island. Works from 2 locations. Licensed in Massachusetts and Rhode Island.

Licensed in
MA, RI
In the registry since
2023
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

117 Chapman St Ste 200
Providence, RI 02905-5400
Phone: (401) 444-9909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1493 Cambridge St, Cambridge, MA 02139-1099 — (617) 665-1000

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence RPH06662 (RI)
Pharmacist Taxonomy 183500000X · Licence PH241587 (MA)

Record details

NPI number1265111769
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address1493 Cambridge St, Cambridge, MA 02139-1099

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