PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC (NPI# 1982737649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982737649 |
| Entity Type | Organization |
| Organization Name | PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC |
| Practice Address |
59 Sandy Bottom Rd Coventry RI 02816-5863 |
| Practice Telephone | 4018215000 |
| Practice Fax Number | 4018215016 |
| Mailing Telephone | 4018215000 |
| Mailing Fax Number | 4018215016 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK GILMORE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4018210600 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA00001 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NCPDP | 4103406 | 01 |
| RI | LICENSE # | PHA00001 | 01 |
| RI | PV01288 | 05 | |
| RI | DEA # | AP9400689 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437282803 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 65 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 1043343411 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 1437282886 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 1346373792 | Pawtuxet Valley Prescription & Surgical Center,inc | Durable Medical Equipment & Medical Supplies | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| Street Address |
59 SANDY BOTTOM RD |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-5863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043343411 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 1346373792 | Pawtuxet Valley Prescription & Surgical Center,inc | Durable Medical Equipment & Medical Supplies | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912564 | Marissa Smyrski | Physical Therapist | 982 Tiogue Avneue, Suite 202, Coventry, RI 02816 | 2018-05-11 |
| 1952787640 | Hayley Houghton | Occupational Therapy Assistant | 501 Hill St, Coventry, RI 02816 | 2015-08-04 |
| 1255697082 | Eric George, Dmd Ltd. | Dentist | 121 Sandy Bottom Road, Coventry, RI 02816 | 2012-04-05 |
| 1396032595 | Dak Family Medical LLC | Nurse Practitioner | 87 Sandy Bottom Road, Coventry, RI 02816 | 2011-07-08 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1912022179 | Dr Roberta Boatwright Dds Inc | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816 | 2007-03-20 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1538220694 | Coventry Imaging Associates LLC | Radiology | 71 Sandy Bottom Road, Coventry, RI 02816 | 2006-12-13 |
| Find all providers in zip 02816 | ||||
| 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 |
|---|---|---|---|---|
| 1871697672 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 763 Tiogue Ave, Coventry, RI 02816-5805 | 2006-09-12 |
| 1932515939 | Walgreens | Pharmacy | 875 Tiogue Ave, Coventry, RI 02816-6300 | 2014-07-10 |
| 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 |
| 1679621676 | Prime Drug Inc | Pharmacy | 613 Cranston St, Providence, RI 02907-2813 | 2007-01-08 |
| 1477612711 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 1068 Putnam Pike, Glocester, RI 02814-1466 | 2006-12-06 |
| 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.