SUBURBAN PHARMACY INC (NPI# 1245373307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245373307 |
| Entity Type | Organization |
| Organization Name | SUBURBAN PHARMACY INC |
| Other Organization Name | SUBURBAN PHARMACY |
| Practice Address |
242 Pawtuxet Ave Warwick RI 02888-1933 |
| Practice Telephone | 4017812110 |
| Practice Fax Number | 4017812640 |
| Mailing Telephone | 4017812110 |
| Mailing Fax Number | 4017812640 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | NICHOLAS SHANOS (OWNER AND PRESIDENT) |
| Authorized Official Telephone | 4017812110 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA00136 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2088084 | 01 | |
| RI | SP00071 | 05 |
| Other Name | Type Code |
|---|---|
| SUBURBAN PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073676698 | Suburban Pharmacy Inc | Pharmacy | 3701 King St, Portsmouth, VA 23707-3115 | 2006-12-18 |
| Street Address |
242 PAWTUXET AVE |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063501302 | Eckerd Corporation | Pharmacy | 50 Service Ave, Warwick, RI 02886-1021 | 2006-10-12 |
| 1225132020 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 2790 Post Rd, Warwick, RI 02886-3113 | 2006-09-12 |
| 1649285719 | Walgreen Co | Pharmacy | 3336 Post Rd, Warwick, RI 02886-7132 | 2006-07-29 |
| 1104968205 | Maxi Drug Inc | Pharmacy | 50 Service Ave, Warwick, RI 02886-1021 | 2007-02-13 |
| 1760583579 | Akins Pharmacy Inc | Pharmacy | 33 Main St, Warwick, NY 10990-1332 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637226 | Mcquade's Jamestown Pharmacy, LLC | Pharmacy | 6 Clarke St, Jamestown, RI 02835 | 2019-09-06 |
| 1568949683 | Allcare Rx Solutions LLC | Pharmacy | 265 Waterman St, Providence, RI 02906-5127 | 2018-07-21 |
| 1396295705 | Rite Aid Pharmacy | Pharmacy | 31 Rock Ridge Rd, Westerly, RI 02891-3704 | 2016-10-10 |
| 1952854903 | Rite Aid Pharmacy | Pharmacy | 412 Angell St, Apartment 2, Providence, RI 02906-4013 | 2016-07-26 |
| 1659761914 | Premier Compounding Center LLC | Pharmacy | 137 Chase Rd, Portsmouth, RI 02871-3243 | 2015-01-26 |
| 1205275278 | Qrx Inc. | Pharmacy | 224 Post Rd, Westerly, RI 02891-2699 | 2013-06-22 |
| 1174758676 | Walgreen Co | Pharmacy | 1583 Atwood Ave, Johnston, RI 02919-3232 | 2009-05-28 |
| 1518153014 | Ccr Pharmacy LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2007-09-18 |
| 1982737649 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-13 |
| 1679621676 | Prime Drug Inc | Pharmacy | 613 Cranston St, Providence, RI 02907-2813 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.