MAXI DRUG SOUTH LP (NPI# 1235238601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235238601 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG SOUTH LP |
| Other Organization Name | RITE AID PHARMACY 10250 |
| Practice Address |
1764 Broad Street Cranston RI 02905-3519 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 4014616438 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA00291 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MD11340 | 05 | |
| OTHER ID NUMBER | 4105082 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10250 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679716302 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 1011 Cranston Street, Cranston, RI 02920-7533 | 2009-04-10 |
| 1447334057 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 20 Woodruff Avenue, Narragansett, RI 02882-3423 | 2006-10-24 |
| 1124117965 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 21 Kingstown Road, Richmond, RI 02898-1101 | 2006-10-12 |
| 1487754818 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 342 Power Road, Pawtucket, RI 02860-3329 | 2006-09-25 |
| 1720188097 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 5945 Post Road, North Kingstown, RI 02852-1301 | 2006-09-25 |
| 1578663902 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 548 Dyer Avenue, Cranston, RI 02920-5227 | 2006-09-25 |
| 1194825521 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 63 Brown Street, North Kingstown, RI 02852-5028 | 2006-09-25 |
| 1740380179 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 1155 Main Street, West Warwick, RI 02893-4830 | 2006-09-25 |
| 1386744712 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 456 Branch Avenue, Providence, RI 02904-2205 | 2006-09-25 |
| 1104926534 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 2456 East Main Road, Portsmouth, RI 02871-4025 | 2006-09-25 |
| Street Address |
1764 BROAD STREET |
| City | CRANSTON |
| State | RI |
| Zip Code | 02905-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1144324948 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 1188 Pontiac Ave, Cranston, RI 02920-7921 | 2006-09-12 |
| 1962506758 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 681 Reservoir Ave, Cranston, RI 02910-3220 | 2006-09-12 |
| 1659386720 | Walgreen Co | Pharmacy | 1763 Broad St, Cranston, RI 02905-3532 | 2006-07-29 |
| 1093747958 | Stop and Shop Supermarket Co LLC | Pharmacy | 200 Atwood Ave, Cranston, RI 02920-4053 | 2006-07-07 |
| 1154822559 | Van Eeghens Pharmacy LLC | Pharmacy | 650 Oaklawn Ave Ste E, Cranston, RI 02920-2811 | 2018-02-22 |
| 1851783591 | Walgreens | Pharmacy | 1763 Broad St, Cranston, RI 02905-3532 | 2015-03-03 |
| 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.