Louis Anthony Bergantino III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

3508 Issued in RI

Practice address

200 Atwood Ave
Cranston, RI 02920-4053

Phone

(401) 944-2669

Fax

(401) 944-8506

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stop and Shop Supermarket Co LLC

  dba Stop and Shop Pharmacy #707

  • Pharmacy
  • Cranston, RI
  • NPI 1093747958
  NPD (past)
• Stop and Shop Supermarket Co LLC

  dba Stop & Shop Pharmacy 2818

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1033705645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204053",
            "telephone_number": "401-944-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204053",
            "telephone_number": "401-944-2669",
            "fax_number": "401-944-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGANTINO",
        "first_name": "LOUIS",
        "middle_name": "ANTHONY",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Elizabeth Bennett, RPH
• Sarah Anne Bennett, LMHC
• Talya Rebecca Benoff, MD
• Arthur S Benson Jr., DC
• Dana Leigh Benton, LCSW
• Julie Ann Bergenstock
• Susan Berkowitz, BSN RN C CDOE
• Marcus Paul Berley, LMHC
• Rosalie Berrios-Candelaria, MASTERS
• Svanjita Berry, MD

• Pharmacist in Cranston, RI
• Providers in Cranston, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.