PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC (NPI# 1437282803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437282803 |
| Entity Type | Organization |
| Organization Name | PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC |
| Other Organization Name | PAWTUXET VALLEY LONG TERM CARE |
| Practice Address |
65 Sandy Bottom Rd Coventry RI 02816-5863 |
| Practice Telephone | 4018239400 |
| Practice Fax Number | 4108220262 |
| Mailing Telephone | 4018239400 |
| Mailing Fax Number | 4108220262 |
| Enumeration Date | 2007-03-14 |
| 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 | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHA00001 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | DEA # | AP9400689 | 01 |
| RI | NCPDP | 4103406 | 01 |
| RI | LICENSE # | PHA00001 | 01 |
| Other Name | Type Code |
|---|---|
| Pawtuxet Valley Long Term Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982737649 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-13 |
| 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 |
65 SANDY BOTTOM RD |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-5863 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1447320056 | Asco Healthcare of New England Limited Partnership | Pharmacy | 30 Centre of New England Blvd, Coventry, RI 02816-6068 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125047 | Personifilrx New England, LLC | Pharmacy | 225 Metro Center Blvd, Warwick, RI 02886-1783 | 2020-02-06 |
| 1306297098 | Woodmark Pharmacy of Rhode Island, LLC | Pharmacy | 114 Minnesota Ave, Warwick, RI 02888-6026 | 2016-06-24 |
| 1740820984 | Mcquade's Marketplace Pharmacy | Pharmacy | 106 Main St., Westerly, RI 02891 | 2020-01-15 |
| 1225695760 | Casmer | Pharmacy | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-21 |
| 1053975102 | Green Line Apothecary of Providence LLC | Pharmacy | 905 N Main St, Providence, RI 02904-5744 | 2019-04-24 |
| 1821572280 | Simpson's Pharmacy | Pharmacy | 10 Newport Ave, Pawtucket, RI 02861-4497 | 2018-09-21 |
| 1174843544 | Genoa Healthcare, LLC | Pharmacy | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2010-06-08 |
| 1639380553 | Genoa Healthcare, LLC | Pharmacy | 103 Bacon St, Pawtucket, RI 02860-5542 | 2007-05-24 |
| 1255416541 | Quality Pharmaceutical Services | Pharmacy | 1130 Ten Rod Rd, Ste F101, North Kingstown, RI 02852-4161 | 2006-10-26 |
Please comment or provide details below to improve the information on PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC.
| 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.