Individual provider Active NPI

Areum Mo, RPH

  • Pharmacist
  • Providence, RI
National Provider Identifier
1023612017
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH06054 Issued in RI
Practice address
114-74 Exchange Street
Providence, RI 02903
Phone
(770) 906-2213
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH06054 RI Primary

Addresses

Primary practice location

114-74 Exchange Street
Providence, RI 02903

Mailing address

255 Promenade St Apt 332
Providence, RI 02908-5771
Phone (770) 906-2213

Other practice location 1

180 County Rd
Barrington, RI 02806-4532
Phone (401) 245-0512

Other practice location 2

255 Promenade St Apt 332
Providence, RI 02908-5771
Phone (770) 906-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH06054RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1023612017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PROMENADE ST APT 332",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085771",
            "telephone_number": "770-906-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114-74 EXCHANGE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "770-906-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 County Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028064532",
            "country_code": "US",
            "telephone_number": "401-245-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Promenade St Apt 332",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029085771",
            "country_code": "US",
            "telephone_number": "770-906-2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MO",
        "first_name": "AREUM",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH06054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.