PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC (NPI# 1437282886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437282886 |
| Entity Type | Organization |
| Organization Name | PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC |
| Other Organization Name | PAWTUXET VALLEY INFUSIONCARE |
| Practice Address |
85 Sandy Bottom Rd Coventry RI 02816-5863 |
| Practice Telephone | 4018210600 |
| Practice Fax Number | 4018237558 |
| Mailing Telephone | 4018210600 |
| Mailing Fax Number | 4018237558 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | MR. 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 | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHA00010 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PV07288 | 05 | |
| RI | PV52305 | 05 | |
| RI | NABP # | 4104989 | 01 |
| RI | BLUE CROSS # | 58225 | 01 |
| RI | DEA # | BP3956414 | 01 |
| RI | PV05379 | 05 |
| Other Name | Type Code |
|---|---|
| Pawtuxet Valley InfusionCare | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437282803 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 65 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 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 |
| 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 |
85 SANDY BOTTOM RD |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-5863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285774588 | Maribeth Raposa Enos | Pharmacist | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-07 |
| 1518001809 | Janet M Bood | Pharmacy Technician | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-19 |
| 1871637173 | Melinda Ann Mchugh | Pharmacy Technician | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-19 |
| 1366586323 | Cheryl Marie Hayes | Registered Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-16 |
| 1720122567 | Kathleen Marie Hemphill | Registered Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-16 |
| 1972647543 | John Joseph Caressimo Jr. | Pharmacy Technician | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-16 |
| 1891837241 | Kathryn M Watier | Registered Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-13 |
| 1952443319 | Karen Marie Moore | Licensed Practical Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-13 |
| 1073655445 | Janice R Martin | Registered Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-13 |
| 1922149202 | Patricia S Read | Registered Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-09 |
| Find all providers in the same location | ||||
| 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 | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368192 | New England Home Infusion Inc | Pharmacy | 3303 S County Trl, E Greenwich, RI 02818-1434 | 2009-07-13 |
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.