NPIMap

Organization Active NPI

Ocean Pharmacy Charlestown Inc.

  • Community/Retail Pharmacy
  • Charlestown, RI
National Provider Identifier
1013083963
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA00329 Issued in RI
Legal business name
OCEAN PHARMACY CHARLESTOWN INC.
Practice address
3986 Old Post Rd.
Charlestown, RI 02813
Phone
(401) 364-0900
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Kettle
Title
Owner
Phone
(401) 364-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHA00329 RI Primary

Addresses

Primary practice location

3986 Old Post Rd.
Charlestown, RI 02813

Mailing address

3986 Old Post Rd.
P.O. Box 840
Charlestown, RI 02813
Phone (401) 364-0900

Other identifiers 2

IdentifierTypeStateIssuer
OP45494MedicaidRI
OP45515MedicaidRI

National Provider Directory

National Provider Directory

Locations

3986 Old Post Rd
Charlestown, RI 02813
Phone (401) 364-0900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1013083963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 OLD POST RD.",
            "address_2": "P.O. BOX 840",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "02813",
            "telephone_number": "401-364-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 OLD POST RD.",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "02813",
            "telephone_number": "401-364-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PHARMACY CHARLESTOWN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "KETTLE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-364-0900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "PHA00329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP45494",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP45515",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.