Active NPI
Areum Mo, RPH
- Pharmacist
- Providence, RI
National Provider Identifier
1023612017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH06054
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH06054 | RI | MD | Pharmacist |
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.