PRESCRIPTION COMPOUNDING SPECIALISTS OF RI, INC. (NPI# 1649608696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649608696 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION COMPOUNDING SPECIALISTS OF RI, INC. |
| Practice Address |
1145 Reservoir Ave Suite 116 Cranston RI 02920-6055 |
| Practice Telephone | 4014290330 |
| Practice Fax Number | 4014290333 |
| Mailing Telephone | 4014290330 |
| Mailing Fax Number | 4014290333 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | MRS. ANNMARIE THERESA ARVANITES (OWNER/VICE PRESIDENT) |
| Authorized Official Telephone | 4014290330 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHA00553 | RI | Suppliers |
| Street Address |
1145 RESERVOIR AVE SUITE 116 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409128 | John Concannon | Pediatrics | 1145 Reservoir Ave, Suite 124, Cranston, RI 02920-6055 | 2005-07-02 |
| 1154935559 | Danielle Claire Lambert | Dietitian, Registered | 1145 Reservoir Ave, Cranston, RI 02920-6055 | 2020-09-02 |
| 1588190565 | Raychel Francias Decorpo | Dietitian, Registered | 1145 Reservoir Ave, Suite 126, Cranston, RI 02920-6055 | 2017-05-11 |
| 1770958688 | Kristina Lopes | Dietitian, Registered | 1145 Reservoir Ave, Suite 126, Cranston, RI 02920-6055 | 2015-12-03 |
| 1861731325 | Penny Joslin Melfi | Mechanotherapist | 1145 Reservoir Ave, Suite 210, Cranston, RI 02920 | 2013-02-04 |
| 1710255278 | Holly R. Holcombe | Dietitian, Registered | 1145 Reservoir Ave, Suite 126, Cranston, RI 02920-6055 | 2011-12-12 |
| 1700169950 | Kate Haffner | Specialist | 1145 Reservoir Ave, Suite 210, Cranston, RI 02920-6055 | 2011-09-23 |
| 1578726030 | Katelynn Elizabeth Volpigno | Mechanotherapist | 1145 Reservoir Ave, Suite 300, Cranston, RI 02920-6055 | 2008-07-05 |
| 1275796740 | Kira E Provost | Registered Nurse | 1145 Reservoir Ave, Suite 300, Cranston, RI 02920-6055 | 2008-07-05 |
| 1144483884 | Lisa A Valerio | Mechanotherapist | 1145 Reservoir Ave, Suite 300, Cranston, RI 02920-6055 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215353586 | Phusion Rx #102, LLC | Pharmacy | 42 Ladd St, Unit #208, East Greenwich, RI 02818-4361 | 2014-03-11 |
| 1790076651 | Apothaca, Inc. | Pharmacy | 17 Coventry Shoppers Park, Coventry, RI 02816-5702 | 2011-04-27 |
| 1861622581 | New England Home Infusion Inc | Pharmacy | 3303 S County Trl, E Greenwich, RI 02818-1434 | 2009-07-15 |
| 1043343411 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
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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.