Active NPI
Nki Enterprises Inc
- Pharmacy
- Lincoln, RI
National Provider Identifier
1053448407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Iacobucci, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9010278 | Medicaid | RI | |
| 2089241 | Other | PK |
Other names 1
- White Cross Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201111000074 | RI | Part B Supplier - Pharmacy | 7719005727 | Practice locations: Lincoln, RI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lincoln, RI
- NPI 1790371151
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
- Andre Nembhard
- New England Chiropractic & Sports Health
- Deborah S Newell, RPH
- Jennifer Newell, PHARMD, CDOE
- Ifeanyichukwu Njoku
- Nki Enterprises Inc
- Euridice Nobre, PMHNP-BC
- Northeast Child and Adolescent Psychological Services
- Northern Rhode Island Cognitive Behavioral Therapy Inc
- Robert Gerard Norton, M.S.
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.