Michelle Cavanna, PHARMD
Individual provider Active NPI Pharmacist · Seekonk, MA
NPI 1023637295 · NPPES record last updated Apr 8, 2020
Key facts
- NPI
- 1023637295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH234998 (MA)
- Practice address
- 1180 Fall River Ave
Seekonk, MA 02771-5936 - Phone
- (508) 336-5308
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH234998 | MA | MD | Pharmacist |
| RPH05257 | RI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH05257 | RI | |
| Pharmacist | 183500000X | PH234998 | MA | Yes |
Addresses
Primary practice location
1180 Fall River Ave
Seekonk, MA 02771-5936
Mailing address
1180 Fall River Ave
Seekonk, MA 02771-5936
Phone (508) 336-5308
Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.