Organization Active NPI

Nki Enterprises Inc

  • Pharmacy
  • Lincoln, RI
National Provider Identifier
1053448407
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NKI ENTERPRISES INC
Practice address
11 Blackstone Valley PL
Lincoln, RI 02865-1185
Phone
(401) 726-6200
Fax
(401) 351-5902
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Robert Iacobucci, RPHNPI 1790371151
Title
Phamacist and President
Phone
(401) 726-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PHA00562 RI

Addresses

Primary practice location

11 Blackstone Valley PL
Lincoln, RI 02865-1185

Mailing address

11 Blackstone Valley PL
Lincoln, RI 02865-1185
Phone (401) 726-6200

Other identifiers 2

IdentifierTypeStateIssuer
9010278MedicaidRI
2089241OtherPK

Other names 1

  • White Cross Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201111000074 RI Part B Supplier - Pharmacy 7719005727 Practice locations: Lincoln, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1053448407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BLACKSTONE VALLEY PL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651185",
            "telephone_number": "401-726-6200",
            "fax_number": "401-351-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BLACKSTONE VALLEY PL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651185",
            "telephone_number": "401-726-6200",
            "fax_number": "401-351-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKI ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "IACOBUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHAMACIST AND PRESIDENT",
        "authorized_official_telephone_number": "401-726-6200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "RI",
            "license": "PHA00562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010278",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Cross Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Cross Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.