Active NPI
Gary Steven Kishfy
- Pharmacist
- East Providence, RI
National Provider Identifier
1083289714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3054
- Practice address
- CVS #00269
583 Taunton Ave
East Providence, RI 02914 - Phone
- (401) 434-2993
- Fax
- (401) 438-3210
- NPI assigned
- May 25, 2021
- Sex
- Male
- 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 | 3054 | RI | Primary |
Addresses
Primary practice location
CVS #00269
583 Taunton Ave
East Providence, RI 02914
Mailing address
44 Mark Dr
Lincoln, RI 02865-4007
Phone (401) 440-3936
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3054 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island CVS Pharmacy LLC | Past | Accepting new patients | |
| Rhode Island CVS Pharmacy, L.L.C | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba CVS Pharmacy # 00269
- Pharmacy
- East Providence, RI
- NPI 1871697664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1083289714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MARK DR",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654007",
"telephone_number": "401-440-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CVS #00269",
"address_2": "583 TAUNTON AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02914",
"telephone_number": "401-434-2993",
"fax_number": "401-438-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHFY",
"first_name": "GARY",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "3054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.