CARDINAL HEALTH 132 LLC (NPI# 1043762230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043762230 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH 132 LLC |
| Other Organization Name | BLACKSTONE VALLEY COMMUNITY PHARMACY |
| Practice Address |
39 East Ave Suite 100 Pawtucket RI 02860-4003 |
| Practice Telephone | 4016422093 |
| Practice Fax Number | 4017280456 |
| Mailing Telephone | 4016422093 |
| Mailing Fax Number | 4017280456 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | MICHAEL BROWN (VICE PRESIDENT, MANAGED SERVICES) |
| Authorized Official Telephone | 2817494764 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARDINAL HEALTH 132, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA00614 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166021 | 01 |
| Other Name | Type Code |
|---|---|
| Blackstone Valley Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1427500941 | Cardinal Health 132 LLC | Pharmacy | 49 Rock Springs, Suite 800, Conowingo, MD 21918 | 2016-11-01 |
| 1144671504 | Cardinal Health 132 LLC | Pharmacy | 215 N Coleman St Ste 100, Swainsboro, GA 30401-3530 | 2016-06-28 |
| 1558719252 | Cardinal Health 132 LLC | Pharmacy | 785 W Sherman Ave Ste 100, Vineland, NJ 08360-6913 | 2016-06-03 |
| 1417460601 | Cardinal Health 132 LLC | Pharmacy | 220 Passaic St, Suite 125-a, Passaic, NJ 07055-6400 | 2017-11-09 |
| 1164966271 | Cardinal Health 132 LLC | Pharmacy | 607 W Main St, Suite 100, Grangeville, ID 83530-1345 | 2016-12-08 |
| 1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
| 1487100475 | Cardinal Health 132 LLC | Pharmacy | 136 Health Park Dr, Mena, AR 71953-9072 | 2016-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cardinal Health 132 LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Cardinal Health 132 LLC | 1330 Enclave Pkwy, Houston, Texas 77077 |
| Street Address |
39 EAST AVE SUITE 100 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757656 | Cristina Pacheco | Family Medicine | 39 East Ave, Pawtucket, RI 02860-4003 | 2006-08-17 |
| 1942856000 | Vanessa Correia | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2019-08-14 |
| 1679129738 | Alex Jacob Weiner | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2019-08-14 |
| 1114498995 | Nicole Snapper | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-12-05 |
| 1497222970 | Joanna Gomes-gibau | Social Worker | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-11-01 |
| 1265911556 | Elana Schwam | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-08-08 |
| 1023595725 | Daijsia Melena Bubb | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860 | 2018-07-25 |
| 1760969869 | Alice Omerhi | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-07-23 |
| 1942796339 | Patricia J Doolin | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-07-09 |
| 1063934958 | Matthew Bartolotti | Physician Assistant | 39 East Ave, Pawtucket, RI 02860-4003 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| 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 |
|---|---|---|---|---|
| 1730283532 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 425 East Ave, Pawtucket, RI 02860-5217 | 2006-09-12 |
| 1104831270 | Walgreen Co | Pharmacy | 385 Cottage St., Pawtucket, RI 02861-1603 | 2006-07-29 |
| 1104269372 | Garma LLC | Pharmacy | 38 East Ave, Pawtucket, RI 02860-4004 | 2013-04-08 |
| 1194943779 | Howell Smith Druggist Inc. | Pharmacy | 749 Central Ave, Pawtucket, RI 02861-2101 | 2007-04-22 |
| 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.