MAXI DRUG SOUTH LP (NPI# 1831298108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831298108 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG SOUTH LP |
| Other Organization Name | RITE AID PHARMACY 10252 |
| Practice Address |
711 Broad Street Providence RI 02907-1481 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 4013319550 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-13 |
| 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 |
PHA00309 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4105448 | 01 | |
| RI | MD13782 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10252 | 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 |
711 BROAD STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| 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 |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1568949683 | Allcare Rx Solutions LLC | Pharmacy | 265 Waterman St, Providence, RI 02906-5127 | 2018-07-21 |
| 1952854903 | Rite Aid Pharmacy | Pharmacy | 412 Angell St, Apartment 2, Providence, RI 02906-4013 | 2016-07-26 |
| 1750564514 | South Valley Pharmacy | Pharmacy | 1652 S Highway 165, Providence, UT 84332-6701 | 2007-12-14 |
| 1518153014 | Ccr Pharmacy LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2007-09-18 |
| 1558495457 | Maceys Inc | Pharmacy | 50 North Highway 165, Providence, UT 84332 | 2007-03-15 |
| 1679621676 | Prime Drug Inc | Pharmacy | 613 Cranston St, Providence, RI 02907-2813 | 2007-01-08 |
| 1528144128 | Genter's Pharmacy Corp | Pharmacy | 866 Broad St, Providence, RI 02907-1724 | 2006-10-27 |
| 1093819898 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 960 Broad St, Providence, RI 02905-1822 | 2006-09-12 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02907 |
Please comment or provide details below to improve the information on MAXI DRUG SOUTH LP.
| 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.