MAXI DRUG SOUTH LP (NPI# 1679716302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679716302 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG SOUTH LP |
| Other Organization Name | RITE AID PHARMACY 06595 |
| Practice Address |
1011 Cranston Street Cranston RI 02920-7533 |
| Mailing Address |
200 Newberry Commons Etters PA 17319 |
| Practice Telephone | 4012750849 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | JENNIFER M 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 |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NCPDP | 4107187 | 01 |
| RI | MEDICAID DME | 4529220 | 01 |
| RI | MD76002 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 06595 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1922108356 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 900 Victory Highway, Slatersville, RI 02876-0713 | 2006-09-25 |
| Street Address |
1011 CRANSTON STREET |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-7533 |
| 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 | 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.